Dental Departures

Dental provider questionnaire

Join Dental Departures for FREE Today!

Thank you for your interest in becoming a dental provider with Dental Departures. We will use the information in this questionnaire in part to determine if we select your dental clinic to partner with and refer patients to. Please answer the following questions as completely and accurately as possible.

You will receive a reply back from Dental Departures within 7 business days. If you have any questions please e-mail: or call

Join Dental Departures for FREE Today!

Dental Departures is the #1 site to find a global clinic. When our customers visit a global clinic they save 70% on their dental care. Dental Departures partners with 4250+ clinics in 33 different countries around the globe.

Why become a Dental Departures partner?

  • Dental Departures is #1

    Dental Departures is #1

    We are the #1 place for patients to find global clinics
  • NO set-up fees

    NO set-up fees

    No set-up, monthly, annual or premium listing fees
  • Pay for completed appointments

    Pay for completed appointments

    Pay Dental Departures a commission
  • Patients pay you

    Patients pay you

    Patients pay your clinic and then your clinic pays Dental Departures a commission afterwards
  • FREE photos of your clinic

    FREE photos of your clinic

    Dental Departures takes high resolution photos of your clinic *only specific countries
  • 24/7 customer care support

    24/7 customer care support

    Customer care for your patients and your clinic
  • Appointments are FREE

    Appointments are FREE

    Customers do not pay to schedule an appointment
  • Multi-currency pricing

    Multi-currency pricing

    Your dental clinic pricing will be priced in 8 different currencies
  • Contact Information
  • Clinic Details
  • Legal
  • Dentists

Contact Information

Clinic Information