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+353 1 818 6571 info@clontarfbraces.ie

GET THE JOURNEY STARTED TO YOUR DREAM SMILE

Book a remote consultation

A member of staff will be in contact to confirm your booking.

    Name *

    Is this consultation for your child? *
    YesNo
    [group child-yn inline]
    Child's name *

    [/group]

    Date of Birth *

    New or Existing Patient? *

    Phone number *

    Email address *

    Preferred method of communication? *

    Preferred day or time? *

    Our orthodontist needs 3 close up photos to assess your teeth - Front | Left | Right.
    Max upload limit 10mbs. Accepted file types: jpg, png, pdf. *


    Photography guide

    In order to take reasonable quality pictures for your orthodontist to assess your teeth and bite, please have the following:

    • Smartphone with camera
    • Medium size spoon or your clean fingers
    • Well lit room
    Left-example
    Front-example
    Right-example
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