01483 274552 |

Mini Consultations at Kelsham Dental Care in Cranleigh, Surrey

Welcome to Kelsham’s free mini consultation. So that we can get to know you better and know what your main concerns are, please could you complete the brief form below and follow the photo instructions so they can be downloaded to Kelsham Dental Care.

Please also enter your main concerns and what changes you would like to make to your teeth and smile.

Once we have received all your information we will then be in touch to recommend the best treatment options for you. This will help allocate the most suitable dentist for you needs when you are ready to visit Kelsham Dental Care.

All our dentists are registered with the General Dental Council (GDC) and our practice is regulated and monitored by the Care Quality Commission (CQC), so you can rest assured you are in safe hands here at Kelsham.

Personal Information







Pre-consultation Request

What are your main concerns about your teeth or smile:*

What treatment are you interested in

If other please specify:

Uploading Photos

1: Nice full natural smile from the front and the left and right side.

2: a. Have your lips nice and wide apart showing your upper and lower teeth with a slight gap between them and make sure they do not touch.

b. With lips nice and wide apart, bite together so all your teeth meet

3: Open wide, head up for upper and down for lower teeth

Upload your photo:

Please note: All photographs submitted to us will be kept strictly confidential and not shared with any third party.

Security

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Please be patient when submitting large images. We will redirect you to a confirmation page after this form has been processed.

To find out more about Kelsham Dental Care or to book an appointment call 01483 274552 or email enquiries@kelshamdentalcare.com

Quality Treatment & Care

  • Providing high quality dental care since 1925
  • State of art equipment and facilities
  • Offering a wide variety of treatments
  • For all enquiries please fill out the adjacent form and we will happily get back to you to see how we can help