Contact

Dental Clinics

Refer your patient

Are you a dentist and would like to refer your patient to one of our practices? With our referral form you can easily forward the relevant information to us.

To the referral form

I have been referred

Have you been referred to one of our dental offices? If so, please fill out the referral form.

To the form

Do you have a question or comment?

If you would like to contact us to make, change or cancel an appointment, please call us. You can contact your dental office directly . We will be happy to assist you by phone.

You can also contact the practice by phone for other questions. If the practice is closed or your question is not urgent, you can fill out the contact form below.

If you cancel within 24 hours in advance or fail to keep appointments without notice, we are unfortunately forced to charge for the reserved time and/or the agreed treatment. The health insurance company will not reimburse these costs.

Contact form

Please note: To make or cancel an appointment, contact your practice by phone.

Attn: Dental Clinics Practice*

How would you prefer to be addressed?*

As a man

As a woman

If neither

Name*

First name Surname

Address

Postal code House number + Addition

Street (will be filled in automatically) Location (will be filled in automatically)

Email address*

Phone number

Question/Comment.*

This field is for validation purposes and should not be changed.