Complete the online form below or send your signed consultation form as an attachment to [email protected].
Bookings can also be made online through askthedentist.youcanbook.me.
I understand that private consultations by Skype or phone are for informational purposes only, and are not
designed to replace clinical treatment or my physician’s or health care provider’s independent judgment about
the appropriateness or risks of a procedure, diagnostic test, or treatment. By engaging in a Skype or phone
consult with Dr. Burhenne, I acknowledge and agree that: the information discussed in my Skype or phone
consult is not intended for the purpose of medical diagnosis or treatment, including self-diagnosis or treatment, nor is it a substitute for, or to replace or modify, clinical medical or professional advice, care, diagnosis, or
treatment; and that neither Mark Burhenne DDS, Mark Burhenne DDS Inc., or AsktheDentist.com assumes any
liability for patients who are not treated in a clinical setting.
I will never disregard medical advice or delay in seeking it because of something discussed in my Skype or
phone consult. I agree that I should seek in-clinic advice of a physician or dentist or other health care provider;
before taking any action related to information discussed in my Skype or phone consult, including the
undertaking of any diet, exercise, or other health plan or program; or if I have questions or concerns about my
health, a medical condition, or any plan or course of treatment. If you think you may have a medical emergency,
call your doctor or 911.