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Online Claim Form

Complete our short online claim form and find out if you are eligible to claim thousands of pounds in dental negligence compensation.

    01 Personal Details

    Country *

    If your enquiry is about a claim, we are only able to process claims for dental negligence that occurred in England or Wales

    Does the potential claim relate to treatment YOU have received?

    Are you enquiring on behalf of someone else? If so:

    (If written please attached at the end of the form)

    02 Treatment Information

    Have you attended regular dental check-ups in England or Wales in the last 2 years before the treatment you are complaining about?

    03 Extra Information