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INFORMATION REQUEST FORM

PRIVACY POLICY

By submitting this form, you agree to be contacted by Rota Health regarding your consultation request. 

Rota Health acts as an independent patient advisory service and does not provide medical or dental treatment. 

Any consultation or treatment, if pursued, would be provided by an independent partner dental clinic. Some partner clinics may be located outside the UK. 

Please do not upload or share medical documents, x-rays, or photographs through this form. Your data will be handled in accordance with our Privacy Policy.

GET IN TOUCH

By submitting this form, I consent to Rota Health collecting and processing my personal data for the purpose of responding to my enquiry and providing patient advisory services. I understand that Rota Health acts as an independent patient advisory service and does not provide medical or dental treatment. I confirm that I have read and agree to the Privacy Policy.

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