{"id":3523,"date":"2022-01-14T03:06:06","date_gmt":"2022-01-14T03:06:06","guid":{"rendered":"https:\/\/themesflat.com\/carenowwp\/?page_id=3523"},"modified":"2025-08-05T07:56:33","modified_gmt":"2025-08-05T07:56:33","slug":"book-appointment","status":"publish","type":"page","link":"https:\/\/smartmouth.online\/en\/book-appointment\/","title":{"rendered":"Online Dental Assessment"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3523\" class=\"elementor elementor-3523\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3db3420 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3db3420\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9c91f55\" data-id=\"9c91f55\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2328cec elementor-widget elementor-widget-tf-title-section\" data-id=\"2328cec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"tf-title-section.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tf-title-section-2328cec\" class=\"tf-title-section\" data-tabid=\"2328cec\"> \r\n\t\t\t\t\r\n\t\t\t<div class=\"title-section\">\r\n\t\t\t\t<div class=\"before-heading\">Online Dental Review<\/div>\r\n\t\t\t\t<h2 class=\"heading\">Second Opinion from Dental Experts<\/h2>\r\n\t\t\t\t<div class=\"sub-title\"><p>Submit your case for a remote evaluation \u2014 including scan review, diagnosis, treatment plan, and pricing. No clinic visit needed.<\/p><\/div>\r\n\t\t\t<\/div>                \r\n            <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d480241 elementor-widget elementor-widget-shortcode\" data-id=\"d480241\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class='fluentform ff-inherit-theme-style fluentform_wrapper_4'><form data-form_id=\"4\" id=\"fluentform_4\" class=\"frm-fluent-form fluent_form_4 ff-el-form-top ff_form_instance_4_1 ff-form-loading ff-form-has-steps fluentform_has_payment ffs_inherit_theme\" data-form_instance=\"ff_form_instance_4_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">General Form request<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='3523' \/><input type=\"hidden\" id=\"_fluentform_4_fluentformnonce\" name=\"_fluentform_4_fluentformnonce\" value=\"0346f0b947\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/3523\" \/><div class='ff-step-container' data-name=\"step_start-4_3\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div class='ff-step-header'><div class='ff-el-progress-status' aria-live='polite'><\/div>\n            <div class='ff-el-progress'>\n                <div role='progressbar'  class='ff-el-progress-bar'><span><\/span><\/div>\n            <\/div>\n            <ul style='display: none' class='ff-el-progress-title'>\n                <li><\/li><li><\/li>\n            <\/ul><\/div><span class='ff_step_start'><\/span><div class='ff-step-body'><div class=\"fluentform-step active\" data-name=\"step_start-4_3\" data-disable_auto_focus=\"no\" data-enable_auto_slider=\"no\" data-enable_step_data_persistency=\"no\" data-enable_step_page_resume=\"no\" data-animation_type=\"slide\" ><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_names_first_name_' id='label_ff_4_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_4_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_names_last_name_' id='label_ff_4_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_4_names_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_numeric_field' id='label_ff_4_numeric_field' aria-label=\"Patient Age\">Patient Age<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_4_numeric_field\" class=\"ff-el-form-control\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown' id='label_ff_4_dropdown' aria-label=\"Patient Gender\">Patient Gender<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_4_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown\"><option value=\"\">- Select -<\/option><option value=\"Male\"  >Male<\/option><option value=\"Female\"  >Female<\/option><option value=\"Others\"  >Others<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_numeric-field_1' id='label_ff_4_numeric-field_1' aria-label=\"Phone no.\">Phone no.<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_1\" id=\"ff_4_numeric-field_1\" class=\"ff-el-form-control\" data-name=\"numeric-field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_email' id='label_ff_4_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_4_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='step-nav ff_step_nav_last'><button  type='button' data-action='prev' class='ff-btn ff-btn-prev ff-btn-secondary'>Previous<\/button><button  type='button' data-action='next' class='ff-float-right ff-btn ff-btn-next ff-btn-secondary'>Next<\/button><\/div><\/div><div class=\" fluentform-step\" data-name=\"form_step-4_1\" ><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_input_text_2' id='label_ff_4_input_text_2' aria-label=\"What are you experiencing?\">What are you experiencing?<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" placeholder=\"(e.g. Pain \/ Missing teeth \/ Old dental work \/ Something else)\" data-name=\"input_text_2\" id=\"ff_4_input_text_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_file-upload_1' id='label_ff_4_file-upload_1' aria-label=\"Upload Your Dental Files\">Upload Your Dental Files<\/label><\/div><div class='ff-el-input--content'><label for='ff_4_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_4_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=false><\/label><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_url' id='label_ff_4_url' aria-label=\"We accept links from: WeTransfer, Google Drive, Dropbox. Please send any of the following:\">We accept links from: WeTransfer, Google Drive, Dropbox. Please send any of the following:<\/label><\/div><div class='ff-el-input--content'><input type=\"url\" name=\"url\" class=\"ff-el-form-control\" data-name=\"url\" id=\"ff_4_url\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text' id='label_ff_4_input_text' aria-label=\"Preferred language for doctor\u2019s reply\">Preferred language for doctor\u2019s reply<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"e.g. Romanian, Italian, Russian, Arabic\" data-name=\"input_text\" id=\"ff_4_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Choose Your Assessment Package\">Choose Your Assessment Package<\/label><\/div><div class='ff-el-input--content'><select name=\"payment_input_1\" class=\"ff-el-form-control ff_payment_item\" data-payment_item=\"yes\" data-name=\"payment_input_1\" id=\"payment_input_1_218b159c7dceb2e6250a78a41faf3b42\" ><option value=\"\" data-payment_value=\"\" data-calc_value=\"\" >Select your assessment option<\/option><option value=\"Quick Review \u2013 \u20ac49\" data-payment_value=\"49\" data-calc_value=\"49\" >Quick Review \u2013 \u20ac49<\/option><option value=\"Premium \u2013 \u20ac79\" data-payment_value=\"79\" data-calc_value=\"79\" >Premium \u2013 \u20ac79<\/option><option value=\"Complex Case \u2013 \u20ac149\" data-payment_value=\"149\" data-calc_value=\"149\" >Complex Case \u2013 \u20ac149<\/option><\/select><\/div><\/div><div class='ff-el-group  ff-payment_summary_component' tabindex='-1' data-name=\"payment_summary_component-4_2\" ><div class=\"ff_dynamic_value ff_dynamic_payment_summary\"><div class=\"ff_payment_summary\"><\/div><div class=\"ff_payment_summary_fallback\">No payment items has been selected yet<\/div><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Terms and Conditions: \u00a0I have read and agree to the Terms and Conditions and Privacy Policy Contains 2 links. 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