Unident Union

Dear Customers, all the data we collect is part of the medical records; it is covered by medical confidentiality and by the GDPR. For more details see Terms and Conditions.

Name*
Surname*

E-mail*

Phone*

Message*

Take pictures according to the sequence shown in the video below.

TIP: All you need is your smartphone

Take shots of your face with no make-up and with your hair tied. Make sure you’re facing sunlight before taking the photo.

Try it, it’s easy!

Please attach the following photos of your teeth for your online consultation:

Click here to upload a photo

Video – we want to see how your smile changes – show us a sad face, a slightly smiling face, a face with a big smile and a face with the most sincere and broadest smile. Record the above sequence of shots in a front and side view.

Click here to upload a movie

To make it easier for us to provide you an informed answer, please attach a panoramic X-ray image and digital photos of your teeth that you took for the dental consultation.

Click here to upload a photo

Declaration that you are aged 16 years and over *
declare that I am aged 16 years and over.
Consent to data processing: *
I consent to the processing of my personal data by Iwona Gnach-Olejniczak who runs a business under the name: UNIDENT UNION I&II Iwona Gnach Olejniczak at ul. Kochanowskiego 20 lokal CD, 51–601 Wrocław, of my personal data contained in the contact form in order to answer the question asked as part of the online consultation.
Marketing consent: *
I consent to the processing of my personal data by Iwona Gnach-Olejniczak who runs a business under the name: UNIDENT UNION I&II Iwona Gnach Olejniczak at ul. Kochanowskiego 20 lokal CD, 51–601 Wrocław, of my personal data, including pursuant to Article 172 of the Telecommunications Law of 16 July 2004, for marketing purposes and for profiling for marketing purposes, and I declare that I provide my personal data voluntarily and that I have been informed of my rights, including the right to access my data, the right to rectify, erase my data, and restrict data processing, the right to transfer data, the right to object to the processing and the right to withdraw consent to the data processing.
Consent to receiving commercial information electronically and to processing this address in the database:*
I agree to receive commercial information electronically, to the e-mail address I specified, and to process that address in the database in accordance with the principles set out in Article 10(1) of the Act of 18 July 2002 on the provision of services by electronic means by Iwona Gnach-Olejniczak who runs a business under the name: UNIDENT UNION I&II Iwona Gnach Olejniczak at ul. Kochanowskiego 20 lokal CD, 51–601 Wrocław and declare that I have been informed of my rights, including the right to access the content of my data, the right to rectify, erase my data, and restrict data processing, the right to transfer data, the right to object to the processing and the right to withdraw consent to the data processing.

Terms and Conditions