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Phone

+41 22 959 75 00

Our schedules

Mon-Fri. 8am-6pm, Tue-Thu. 8h-19h, Wed. 9am-7pm

APPOINTMENT
Home page > Appointment form

Appointment form

    Please answer this short questionnaire as accurately as possible, so that we can process your application quickly.

    Reason for consultation *

    Description of your request *

    Availability *

    Morning (from 8am to 2pm)

    Afternoon (from 14h to 19h)

    Do you have a phobia about dental care? *

    Are you already a patient of Centre Dentaire Champel? *

    Civility *

    Name *

    First name *

    Phone *

    E-mail *

    Address

    NPA

    City

    Locality

    Personal data management *


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    * : mandatory field