Welcome to Dentoc Dental Clinic Appointment Portal!
We just need a few quick details to get you set up.
We’d Love to Know Your Beautiful Name!
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Title
First name
Surname
What’s the best phone number to reach you?
Email
(Required)
How Can We Help You Today?
We want to make sure we’re ready for your visit.
What’s the reason for your visit?
Please select one
General Check-up
A Specific Dental Service
Dental Emergency
We’d Love to Know More! What services are you interested in?
Are you having any symptoms or discomfort?
Please select one
No
Yes
We’d Love to Know More! What are the symptoms you are having?
When do you intend to come to our clinic?
DD slash MM slash YYYY
Around what time?
Hours
:
Minutes
AM
PM
AM/PM
Which of our branches is closer to you
Please select one
Weija Branch
East Legon Branch
Ashaiman Branch
Nkawkaw Branch
Sunyani-Fiapre Branch
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