嗨，您好：
Hello,

我_____有（have）或______沒有（Do not have）
台灣的全民健保，可否請您告訴我以下看診，我所需要付的費用是多少？
I have_____ Do not have _____
National Health Insurance. What are the costs for：

例行檢查加洗牙】的費用是新台幣NTD$_________（請您填寫）
A check up with Ultra-sonic gumline treatment？

【塗氟】的費用是新台幣NTD$_________（請您填寫）
Fluoride treatment？

【全部牙齒照Ｘ光片檢查蛀牙】的費用是新台幣NTD$_________（請您填寫）
X-rays for cavities for the whole mouth？

每一張Ｘ光片的費用是新台幣NTD$_________（請您填寫）
How much is each X-ray?

【補牙 : 補銀粉】的費用是新台幣NTD$_________（請您填寫）
What is the cost for a silver filling?

【補牙 : 補樹脂】的費用是新台幣NTD$_________（請您填寫）
A resin filling?

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謝謝您的回答！現在我想要進行下列的項目：
Thank you! I would like:

____例行檢查加洗牙
A check up with Ultra-sonic gumline treatment.
____塗氟
Fluoride treatment.
我要照____張（Number of X-rays for cavities）Ｘ光片檢查蛀牙
____ number of X-rays for cavities.


對了，我同時想讓您知道，我嘴裡有一顆牙齒目前非常疼痛！
Also, I want to let you know that I have one tooth that hurts very badly.

我可以在今天檢查嗎？_____是_____否（請您勾選）
Can I be seen today? Yes___ or No___

我要等多久才能讓醫師看診呢？ _____15 ______20 ____30 ______ 60 ______90分鐘（請您勾選）
How long will I wait to see the doctor? 15, 20, 30, 60, 90 minutes

我可以另外約時間看診嗎？
我想約____月(Month)___日(Day)____( morning早上)____( afternoon中午)_________(evening晚上)
Can I make an appointment for morning, afternoon, evening of ___/___
另外約診當天的醫師看診時，我想要進行下列的項目：

At that appointment, I want:
______例行檢查加洗牙
A check up with Ultra-sonic gumline treatment
______塗氟
Fluoride treatment
我要照____張（Number of X-rays for cavities）Ｘ光片檢查蛀牙
____ number of X-rays for cavities.
對了，我同時想讓您知道，我嘴裡有一顆牙齒目前非常疼痛！

Also, I want to let you know that I have one tooth that hurts very badly.

Thank you 謝謝您的協助！


Ultra-sonic Gumline Cleaning 洗牙
Fluoride Treatment 塗氟
X-Ray 照X光片
Bi-wings X-Ray照咬翼X光片
Filing 補牙：
1. Silver 補銀粉
2. Resin 補樹脂
Crown 裝牙套：
1. metal 裝金屬製牙
(1). Silver tooth銀製牙
(2). Gold tooth金製牙
2. tooth colored or Porcelain 裝瓷牙
Check up 例行檢查
Cavities 蛀牙