Free exploratory consultation for dental implant treatment

Complete and submit this form to arrange an appointment for a FREE exploratory consultation to discuss how dental implants can help you.

Most of the clinics listed on this website offer a FREE exploratory consultation for prospective implant patients. The initial consultation only takes about 15 minutes and does not involve a clinical examination. The discussion can help you consider the options for treating your dental problems and decide whether to proceed to the next stage.

Once you have decided that you want tooth implant treatment, the next step is a clinical consultation. This includes an oral examination and clinical assessment, from which a costed individual plan is produced for your treatment. Most dentists charge a fee for the clinical consultation but some refund the cost when you proceed with the treatment.

Please provide as much relevant information as possible. However, you may wish to save discussion of any sensitive medical information until your face-to-face consultation with the implant dentist of your choice.

* Mandatory field


FREE consultation appointment

Please tell us when it would be most convenient for your visit to the implant clinic, excluding Sundays and public holidays. The practice will contact you to arrange your appointment.

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Morning
  • Afternoon
  • Evening
  • Before
  • After

Please also state any dates or times when an appointment would not be convenient:

Desired treatment outcome

Which benefits of tooth implant treatment most interest you?
Smiling and laughing with confidence
Eating anything you want
Speaking normally
Natural looking teeth

What do you want your dental implant(s) to do?
Fill a gap to replace a lost or failing tooth/teeth
Replace a short-span bridge or partial denture
Support a full arch bridge to replace a complete denture
Secure a loose or poor fitting full denture

Any other requirements?

Do you need information about payment plans to fund your treatment?

  • Yes
  • No

Your current oral health

Missing or failing teeth:

Please indicate below by checking the relevant box(es)

UPPER JAW



Complete
upper JAW

LOWER JAW



Complete
lower JAW

How long have the teeth been missing?

Has the underlying bone shrunk?

Relevant background information or medical conditions:

Do you have any other questions about dental implant treatment?

Are you a smoker?

  • Yes
  • No

Your details




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Submit this form for a FREE preliminary consultation about dental implant treatment

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