1. Contact
  2. Smile Makeover Enquiry Form

Once completed, you will then receive an email. To be added to Emily's waiting list, you will need to reply to the email.

What treatment are you interested in?
All new patients require a full case assessment appointment at one of our consultation clinics. Please select one
Have you had a full dental check up in the last 6 months?
If yes, did the dentist raise any concerns about your oral health?
Have you ever had professional dental tooth whitening treatment?
If yes, were you happy with the whitening results?
Have you ever had orthodontic treatment before? i.e. a brace or clear aligners
If yes, are you happy with the results from your orthodontic treatment?
Have you got any existing dental work?
How would you rate your current smile out of 5?
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