ASSESS YOUR ORAL HEALTH
Would you like to know how healthy your mouth is? Please complete an Oral Health Assessment Form to let us know what your teeth and gum concerns are. By answering our questions, we can see what dental risk category you are in and what can be done to help you.
Please complete the online form and submit. Alternatively please print out the PDF and post the completed form to 58 Billet Lane, Hornchurch, Essex, RM11 1XA or scan the completed form and email to firstname.lastname@example.org
One of our team will be in touch with further information and to answer your questions.