Please complete the form below and click on the send button. Please note that fields marked with * are mandatory.
By completing this form and clicking on the send button, you consent to us using this data to contact you to arrange a dental appointment. For further information:
The personal data collected from this form (surname, first name, telephone number and e-mail address) is used to:
We respect your privacy and undertake not to use this information for any purposes other than those mentioned above. The data collected in this way will be kept on our computer system for one month before being deleted.
You may contact Annabelle Laurin at protection_rp(a)cliniquebfabre.com to request that your data be modified or deleted before this period expires.