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Book Consultation

We offer complimentary online consultations for all new patients. In-person consultations are €50. Send us your details and we will be in touch to confirm a date.

Patient Details

First Name
*
Surname
*
Phone Number
*
Email
*
How would you like us to contact you to arrange an appointment? You may select multiple.  
Message (optional)
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If you need to contact us urgently, please call (01) 4920 622.

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Patient Details

First Name*
Surname*
Is this consultation for your child?*
Child's Name*
Date of Birth*
Phone Number*
Email*
How would you like us to contact you to arrange an appointment? You may select multiple.  

Consultation Details

Which teeth would you like to fix?
What are your main concerns with your smile?
Are there any particular treatments you are interested in?
Do you know when you would like to begin treatment?
Would you like to arrange a consultation?*
What is the best consultation software for you?*
Other Consultation Software Name*

Images

Please upload 5 photos as shown in the images below. These will enable your orthodontist to assess your smile & advise on the best course of treatment.
Upload Image 1*
Upload Image 2*
Upload Image 3*
Upload Image 4*
Upload Image 5*
Is there anything you feel we didn’t ask you?
Success

Your details have been sent. We will be in touch to arrange a date and time.

If you need to contact us urgently, please call (01) 4920 622.

Something went wrong while submitting the form. Please try again or refresh the page and try again.
Dental Council of IrelandAmerican Association of OrthodontistsIrish Dental Association LogoWorld Federation Of Orthodontists Affiliate AssociationRoyal Australasian College of Dental Surgeons LogoOrthodontics Society of Ireland
Dental Council of IrelandAmerican Association of OrthodontistsIrish Dental Association LogoWorld Federation Of Orthodontists Affiliate AssociationRoyal Australasian College of Dental Surgeons LogoOrthodontics Society of Ireland