Customer Service

Restricted Medicine

Colgate Neutrafluor 5000 Toothpaste

This product is a Restricted Medicine and a ToothShop dentist will review your answers to the following questions prior to approving your order and may contact you for further information to ensure this product is suitable.

Name of the person who will use this product:*

Is the person who will use this product over 10 years old?*

	Yes
	No

Please select any of these options as applicable to the intended user:

	Has used this product before
	Has high dental decay risk
	Has root decay
	Has dry mouth
	Is having orthodontic treatment

Has a dentist or doctor recommended the product on this occasion? If yes, please provide their name and/or practice*

Does the intended user have any other health conditions or allergies? If yes, please list*

Additional comments

Thank you for your answers. You will be returned to the product page to add your product to your cart after submitting your answers.

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Restricted Medicine

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