E-Consultation – Liberty Dental Clinic

GET YOUR LIVE E-CONSULTATION WITH DR. MAJD NAJI

To know your treatment plan, estimated duration and cost of the treatment.

Complete contact number with country code.

Front teeth picture* Choose file

Side teeth picture* Choose file

Upper teeth picture* Choose file

Lower teeth picture* Choose file

X-Ray (Required)* Choose file

Passport or ID* Choose file

Terms

I hereby agree and certify that I have read the Consent Form

Rights

I hereby confirm that I have read Patient and Family Bill of Rights