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Home
Packages
Photos
Book now
English
- Íslenska
- English

Get in touch with us

If you are looking for dental services, we recommend taking a look at our specialized options at:

Tannferdir.is

Get in touch with us

E-mail

info@tannferdir.is

Looking forward to hearing from you!

Patient Application & Information Form

This is the first step towards your dental trip.
We use this form to collect all necessary information from You in order to assist New Crown in combining the most suitable treatment plan for You. Please provide as much data as possible!

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Your Name *

Email *

Phone number *

Service(s) *

Free Consultation
Bronze package
Silver package
Gold package
Asking for special offer

Number of people *

1
2
3
4 or more

Number of days / duration of service *

2 days
3 days
4 days
5-7 days
more than a week

Additional Personalized Package Options

Prevention package
Menopause Balance package
Wellness for Women package
Vitality for Men package
Senior Harmony package

Can be added later on

Type of medical issue *

Ophthalmology
Dermatology & Aesthetics
Dental treatments (e.g. crowns, implants, All-on-X, surgery)
MR/CT
Other

Please select serice(s) from the list

days Number Name

Urgency level *

Requesting information only at this stage
Would like an appointment in the next 1–2 weeks
Urgent (please contact me within 24 hours)

Leave a message for us

Please describe you desire in detail

Press ‘Submit’ at the bottom to securely send your information our way.

E-mail

info@heilsuferd.is

Opening times

Mo-Fri: 8:00-17:00

Get in touch with us​

Get in touch with us

E-mail

Patient Application & Information Form

E-mail

Opening times

Get in touch with us