Online Booking Form

Contact Number021 696 9428

Trading HoursMO - THU: 8AM - 8PM FRI: 8AM - 7PM SAT: 8AM - 1PM

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Kromboom Dental Centre charge medical aid rates. We however DO NOT deal directly with Medical Aids. Patients will need to settle their accounts first and claim back from their Medical Aid Provider.

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Patient Status

Active Patient
Inactive Patient
New Patient

Name *

First

Last

Email *

Contact Number *

Cell Number *

Address *

PURPOSE OF DENTAL VISIT (you may select more than one choice) *

Bleaching/Whitening
Examination
Re-evaluation
Bonding
Extraction
Retainers(fixed or removable)
Braces
Fillings
Root Canal Therapy
Broken or missing teeth
Implants
Root planning & scaling
Cleaning & check-up
Oral Microbiology
Deep Cleaning
Cosmetic Dentistry
Oral Surgery
Sculpting(reshaping teeth)
Crowns,caps & fixed bridges
Pain
Temporary filling or caps
Dentures
Periodontal therapy or surgery
TMJ & bite plates
Diagnosis of soft tissue lesions
Porcelain laminates/veneers
Wisdom teeth
Emergency
Post and core
X-rays

PREFERRED DAYS AND TIMES OF APPOINTMENTS: *

Office hours: Monday -Thursday, 8:00 am – 8:00 pm (last appointment). Friday 8:00 am – 7:00 pm, Saturday 8 – 1pm (last appointment). Please give several choices

Preferred method to receive your appointment confirmation *

Telephone
Cell
Email

If you send this Patient Appointment Scheduler to us during the week between 9:00 am and 6:00 pm you will receive your confirmation by the end of the day. You will receive your appointment confirmation within 24 hours.

Contact Us

+27 21 696 9428

Our Address

Kromboom and Burwood Rd
Rondebosch East, 7780

Contact Info

Phone: 021 696 9428
After Hours: 076 617 4756

Working Hours

Mon – Thurs: 8AM - 8AM
Friday: 8AM - 7PM
Saturdays: 8AM - 1PM

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About us
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