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050 767 62 97
Wishes and information
1
2
Select a prefered treatment
Combined check-up and hygiene treatment
just a check-up
Emergency or acute problem
I still had to schedule an appointment
Something else
My normal recipie for hygiene
I still had to schedule an appointment
Groninger ‘In-between’ – 10 mins
Dental Wellness Intens – 15 mins
Dental Wellness Royal – 20 mins
After Eight – 30 mins
Brush/floss/pollishing (per 5 mins)
Tartar removal – 10 mins
Whitening treatment
3
Which day or time has your preference
Monday
Tuesday
Wednesday
Thursday
Friday
Morning
Afternoon
Evening
4
Healthwise, has anything changed since your last visit?
Do you have any questions prior to your visit?
5
Confirmation
We will try to contact you within 24 hours to confirm and schedule your appointment. Thank you and see you soon!