Name: Timber Dental
Price range: $$

Any cosmetic concerns with your teeth/interest in a smile makeover?

Have you had botox/fillers before?

Yes No

Do you have TMJ pain?

Yes No

Do you get tension headaches?

Yes No

Do you have neck pain that causes headaches?

Yes No

Medical History Concerns:

Any Additional Questions, Concerns, or Notes:

Are you interested in esthetic injection treatments or a smile makeover?

Esthetic Injections Smile Makeover Both

Please upload high-quality, well-lit pictures or video of your face and areas with wrinkles that you would like to disappear. Please try to make the wrinkles in the photos. If you're interested in a smile makeover, please send photos of your smile and teeth from both the right and left sides.

Virtual Consultation Request

For Esthetic Treatment or Dermal Fillers

Find Available Appointments

Links

© 2024 Timber Dental Care