Get your smile assessed
Fill in the smile assessment form below to have LH Dental Care assess your smile!
Upload photos of your smile
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What is your biggest concern?
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Please Select
Crowded teeth
Spaced teeth
Gaps in my smile
Unhappy with Smile
Name
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First Name
Last Name
Email
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example@example.com
Mobile
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Please enter a valid phone number.
Postcode
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Have you considered any specific treatments?
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Invisalign
Clear braces
Metal braces
How did you hear about us?
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Google search
Facebook
Instagram
Leaflet
Referred by a friend
Other
Anything else we should know
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Feel free to tell us a bit about your issues with your current smile. Don't hold back!
I agree to L&H Dental Care using my personal data to provide me with information about dental treatment. View our Privacy Policy to learn more about how we use your data.
I agree to L&H Dental Care using my personal data to keep me informed about marketing offers and initiatives that may be of interest.
Please verify that you are human
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