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Advanced RestorativeDental ImplantsEndodonticsPeriodonticsAnxiety Management (Sedation and/or CBT)OrthodonticsOral SurgeryOthers
I would like to refer this patient for evaluation and/or treatment of
Does this patient suffer with any dental related anxiety or phobia? YESNO
Would you be happy for this patient to be assessed by our in-house Dental Behavioural Management service?? YESNO
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