Do you have mercury (silver) fillings? *

No, never had them

Yes, but safely removed

Yes, but removed without safety

Yes, I still have them

Have you researched the health risks associated with mercury amalgam fillings?

Yes

No

Are you experiencing any symptoms possibly related to mercury toxicity? (Fatigue, Headaches, Brain fog, Memory loss, Mental health effects, etc.)

Yes

No

Are you open to exploring holistic dental treatments for mercury removal?

Yes

No

Do you understand the importance of selecting a qualified dentist for mercury removal (SMART Certified)?

Yes

No

Are you ready to take the next step toward scheduling a consultation for mercury removal treatment?

Yes

No