Request An Appointment - CB Dental Family Care

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Are you ready to upgrade Your Smile?

We are a private health care dedicated to providing quality dental care in cosmetic, restorative, and general dentistry.

Not Sure What You Need?

No worries at all. Simply fill out the form and one of our friendly team members will reach out to discuss the best treatment option for you.

Prefer to Talk First?

We completely understand. Give us a call or send us a WhatsApp message at +1 (868) 345 4067 and we'll happily answer any questions before you book.

Nervous About Your Visit?

You're in safe hands. Our team are known for their gentle, patient approach we go at your pace, every single time.

Request Form

Booking with CB Dental Family Care is quick and easy. Fill in your details below, choose your preferred location and time, and one of our team members will be in touch to confirm your appointment.

Patient information

Full name *

Date of birth *

Email address *

Contact number *

Preferred method of contact *
CallEmailWhatsApp

Parent / guardian (patients under 18)

If the patient is under 18, please complete this section.

Guardian full name

Relationship to patient

Guardian contact number

Your appointment

Preferred location *

Type of visit *

Preferred appointment date

Preferred Time

About your smile

How do you feel about your smile? *
I love my smileI like it but want improvementsI'm self-conscious about itI avoid smiling in photos

Is there anything specific you'd like to improve? (select all that apply)
Whiteness / colourStraightness / alignmentMissing teethShape / size of teethGum appearanceOverall health

Any other details or questions