Paradise Dental Los Cabos

PATIENT FORM

A patient care manager will reach out to you with in 24 hours to help you move forward with your dental needs.

Patient Form

Complete the form and attach any pertinent document to your situation. Please note this action does not mean scheduling of an appointment or any binding commitment. The pieces of informationin this contact form is istrictly confidential and will not be shared with any third parties. It will be directly reviewed by our team of specialists to provide the most accurate responses to your inquiries.

Contact Information

Your Name
Your Name
First name
Last name
Sex

Prefer Contact you

Having the right Information is the key to fixing any dental situation. Please share with us any relevant documentation you consider like your local plan of treatment, X-ray or photos taken from your smartphone.

Medical Documentation

I am able to provide:

Have you underwent any surgeries in the past?
Do you have metal implants
Do you have any conditions?

Medical Conditions:

Do you have any allergies?
Do you smoke?

To ensure, we provide you with the most accurate information, please share any relevant documentation you have about your travel information.

Documentation:

Do you have an active passport?

Will you require travel assistance?

Journey Information:

How soon do you want to start your treatment?

And that's it!

Complete Information!