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INFORMATION REQUEST FORM

PRIVACY POLICY

By submitting this form, you agree to be contacted by Rota Health regarding your consultation request. 

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Rota Health acts as an independent patient advisory service and does not provide medical or dental treatment. 

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Any consultation or treatment, if pursued, would be provided by an independent partner dental clinic. Some partner clinics may be located outside the UK. 

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Please do not upload or share medical documents, x-rays, or photographs through this form. Your data will be handled in accordance with our Privacy Policy.

GET IN TOUCH

By submitting this form, I consent to Rota Health collecting and processing my personal data for the purpose of responding to my enquiry and providing patient advisory services. I understand that Rota Health acts as an independent patient advisory service and does not provide medical or dental treatment. I confirm that I have read and agree to the Privacy Policy.

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