Consultation - Ilamdin Dental

For patients who require a more comprehensive assessment, this consultation includes a detailed review of dental information and records.

1 Patient Information

Full Name*

Email Address*

Phone / WhatsApp Number*

Describe Your Dental Concern*

2 Medical Information

Medical Conditions*

Current Medications*

3 Dental Records

Upload Dental Photos*

Please upload clear photographs of your teeth and mouth.

Upload Photos JPG, PNG, WEBP — up to 5MB each

Dental X-rays / OPG

Do you have a dental X-ray or OPG?

Yes No

CBCT Scan

Do you have a CBCT scan?

Yes No

4 Consent

I confirm that the information provided is accurate and agree to receive consultation-related information and follow-up communication from the clinic*. I understand that the €50 fee applies to the detailed online dental consultation*.

DETAILED ONLINE DENTAL CONSULTATION

1 Patient Information

2 Medical Information

3 Dental Records

4 Consent

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