Clínia de Periodòncia i Cirurgia d'Implants. Dra. Jorgina Estany

You may complete the following form and send us all the required information; we shall contact you shortly. 


Referring new patients


  • Services to request



  • Must be in PDF or Word format

    Images must be sent to

  • Captcha image 

    Please enter the 5 characters seen in the image:

  • In accordance with the provisions of Spanish Organic Law No. 15/1999 dated 13 December 1999 concerning the Protection of Data of a Personal Nature, we hereby inform you that your personal contact details will be included in a database entitled JORGINA ESTANY CASTELLA PERIODONTAL CLINIC, which is kept to act as the Company's list of contacts, and that you have the right to exercise your rights of access, rectification, cancellation and objection provided for in the Law by writing via electronic mail to:   Reference: Data Protection, or by a letter addressed to Carrer Creu, 8, 1er. 2a. 17002 GIRONA.

Clínica Estany © 2018