DR. Tatjana Knego, DMD

Dental Clinic for general dentistry,
orthodontics, oral surgery and orthopan x-rays

Questionnaire for obtaining quotations and instructions for the patient

To get to know you better, to be able to get a picture of the situation and to give an appropriate quotation for the dental services at our clinic, we require the following information by e-mail:

  • ORTHOPAN DIGITAL X-RAYS
  • 2 – 3 PHOTOGRAPHS OF YOUR TEETH, THE PHOTOS CAN ALSO BE TAKEN WITH YOUR MOBILE PHONE (photographs are optional)
  • COMPLETED FOLLOWING QUESTIONNAIRE, you can fill in digitally or send via fax to: +385 1 48 47 002

QUESTIONNAIRE

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