What brings you to Biosmiles today? *

(Select all that apply)

I want dental care that considers my whole-body health

I'm experiencing ongoing dental issues despite regular treatment

I'm concerned about the materials used in dental procedures

I'm looking for more natural, preventative dental care

Have you had any negative experiences with traditional dental treatments? *

Yes, with materials or techniques used

Yes, with the approach to treatment planning

Yes, with recurring issues despite treatment

No, but I'm interested in a more holistic approach

I'm new to dental care that considers overall health

What is most important to you in your dental care? *

Using biocompatible, non-toxic materials

Preserving my natural tooth structure

Addressing the root cause of problems, not just symptoms

Understanding the connection between my oral health and overall wellness

Finding solutions for chronic issues (breathing, sleeping, eating, etc.)

Name *

First Name

Last Name

Phone *

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