The periodontal diagnosis forms can be downloaded in one of three formats for $100 (£69):

self-extracting ZIP for Word 2000 document
ZIP file for Word 2000 document
Word 2000 document

Alternatively, you can send in your own diagnosis form.

Professional Periodontal Consultations

Diagnosis
Form

Secure payment processing will be carried out by ClickBank

Click on logo to activate process

No credit card ? Click here for alternative route

ClickBank will give you with a unique ticket number - a sequence of 8 letters and digits.

Advice: make a note of that number, or print out ClickBank's page.

When the credit transaction is complete, you will be immediately re-directed to a download page where you can select the format you wish to use - the file is immediately on-line. Full instructions are included.

Your ticket number will be required on all communications with us.

Any problems? Contact 
webadmin@periodontal-net.com

If you proceed, your financial transactions will carried out by secure payment processing - you will be billed on your next credit card statement for $100 by "CLICKBANK/KEYNETICS"