Request your appointment with confidence.

Patient Booking Form

Request an appointment

Whether you need a routine checkup, treatment for pain, cleaning, braces, or urgent dental help, submit your request and the clinic will follow up by phone or WhatsApp.

Full Name Phone Number Email Address (optional) Preferred Contact Method Select preferred contact method Phone Call WhatsApp Either Phone Call or WhatsApp Preferred Date Preferred Time Select preferred time 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM Available booking hours: 8:00 AM to 17:30 PM Service Needed Select a service General Consultation Dental Checkup Teeth Cleaning Fillings Tooth Extraction Root Canal Treatment Teeth Whitening Braces & Orthodontics Dentures Crowns & Bridges Dental Implants Pediatric Dentistry Gum Care Cosmetic Dentistry Emergency Dental Care Preventive Care Branch Preference Select preferred branch (optional) Makerere Hill / Ham Towers Haji Musa Kasule Mall, Wandegeya No preference Message Request Appointment

What to Expect

Simple next steps after you submit

• Your request is received by the clinic through the website form.
• The team follows up to confirm the appointment details.
• You get clarity on the best time, branch, and next step before your visit.

Need urgent dental help?
Do not wait for a form response if you are in severe pain, have swelling, bleeding, or a dental emergency.