Patient registration

Patient Registration

Join our personalized medical coaching program.

Quick registration

Create your account in one click with your preferred social network. You can complete the missing details afterwards.

OR FILL OUT THE FORM

1. Personal information

Optional

Password

Minimum 8 characters

2. General health

3. Dental status

Indicate what currently concerns you (for guidance only).

4. Consent to participate in a training session

I understand that:
  • Treatments will be performed by trainee practitioners (dental surgeons), under the supervision of qualified professionals.
  • Treatments may take longer than in a regular clinic.
  • I may ask all my questions before and during the treatment.

5. Authorization and commitment

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