The Leading
Specialist
Dental Negligence
Solicitors in the UK
0808 250 7305
Trustpilot
The Leading
Specialist
Dental Negligence
Solicitors in the UK
0808 256 6482
Trustpilot
Request a Callback
Start Your Claim
The Leading
Specialist
Dental Negligence
Solicitors in the UK
0808 301 4002
Request A Callback
Start Your Claim
Trustpilot
Dental Negligence Claims
The Claims Process
Dental Complaints
Types of Dental Negligence Claim
Injury
Failure to obtain patient consent
Failure to diagnose
Failure to treat
Tooth Nerve damage
Types of Dental Injury Claim
Cosmetic Dentistry Claims
Cosmetic bonding
Smile makeovers
Dental implants
Dentures
Gum Contouring
Braces
Veneers
Tooth decay
Tooth extractions
Fillings
Gum disease
Oral cancer
Restorative Dentistry
Crowns
Bridges
Root canal
Wisdom teeth
Dental Negligence FAQs
Why Choose Us?
Case Reports
Client Stories
Testimonials
About Us
Our People
Contact
Solicitor Referral
Online Claim Form
News
Resources
Online Claim Form
1. Personal Details
Name
*
?
Your name will be used for customer service purposes.
Email
*
?
If we are unable to contact you by phone we can email you to help and to provide important information about your claim. (We will never sell your information to third parties.)
Phone
*
?
This number will be used for the purposes of customer service and to provide important updates about your claim.
Does the potential claim relate to treatment YOU have received?
YES - please go to section 2 'Treatment Information'
NO - please fill in the section below
Are you enquiring on behalf of someone else? If so:
What is their name?
What is your relationship to them?
Have you got their permission to speak to us?
Yes
No
What is the format of their permission?
(If written please attached at the end of the form)
Written
Verbal
2. Treatment Information
What treatment are you complaining about?
*
?
This information will be used solely for the purpose of assessing whether you have a potential dental claim.
Date of treatment (approximate date if exact date not known)
*
Location of Dentist/Town
*
What injury did you suffer?
*
?
We collect this information for the purpose of assessing whether you have a potential dental claim.
What treatment do you now need?
*
?
We collect this information or the purpose of assessing whether you have a potential dental claim.
When did you find out there was a problem (approx. date)
*
How did you find out there was a problem?
*
Have you attended regular dental check-ups in the last 2 years before the treatment you are complaining about?
yes
no
3. Extra Information
How did you find out about Dental Law Partnership?
*
If you have any documents you wish to provide with your claim form please attach them below.
?
These documents will be used as supporting evidence of your potential claim.
I confirm that the information contained within this questionnaire is true to the best of my knowledge and belief.
*
Enter the code to continue
I have read and agreed the
privacy policy
*
Submit Claim
Dental Law Partnership
Dental Negligence Claims
The Claims Process
Dental Complaints
Types of Dental Negligence Claim
Injury
Failure to obtain patient consent
Failure to diagnose
Failure to treat
Tooth Nerve damage
Types of Dental Injury Claim
Cosmetic Dentistry Claims
Cosmetic bonding
Smile makeovers
Dental implants
Dentures
Gum Contouring
Braces
Veneers
Tooth decay
Tooth extractions
Fillings
Gum disease
Oral cancer
Restorative Dentistry
Crowns
Bridges
Root canal
Wisdom teeth
Dental Negligence FAQs
Why Choose Us?
Case Reports
Client Stories
Testimonials
About Us
Our People
Contact
Solicitor Referral
Online Claim Form
News
Resources
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