Patient Personal Details

 

Please note:

  • Fees: “Contracted out” fees. Tariffs are charged at a private rate.

  • We do not work directly with Medical aids/-insurance. All payments must be settled via debit- or credit card payment after each appointment.

  • You (or your parent/guardian) remain liable for the account for services rendered by De Beer Dental, even if you are insured by a Medical aid/-insurance or another third party.

  • It is your (or your parent's/guardian's) responsibility to claim from your Medical aid/insurance.

Please complete the form below