International Patient Form

A pre-assessment form for patients travelling from abroad. Upload your panoramic X-ray and we will send an estimated treatment plan and price range within 48 hours. We reply in Turkish, English, German, Arabic and Russian.

Full name

Phone / WhatsApp (with country code)

Country and city of residence

Preferred language

Treatment of interest

Planned travel date

Number of travellers

Do you need accommodation and transfer?

Yes, hotel and transferTransfer onlyNo

Medical history and current medication

Panoramic X-ray or photos

Your message

Your details are transmitted securely and are not shared with third parties.