New Patient Forms
We provide gentle and compassionate care in a friendly environment. We always focus on evidence based diagnosis, patient education, and working with you to build a treatment plan that aligns with your oral health goals.
REQUEST AN APPOINTMENT
or call (778) 738-5111
We want your first visit to go as smoothly as possible, which is why we’ve made our New Patient Forms available for you to download online by clicking here.
Please fill out the new patient intake form below with as much information as possible.
If taking medications, supplements, and/or vitamins please list below:
Is there any additional information regarding your health we should know about as your dentist?
Main Dental Concern?
Do You Have Dental Insurance?
Any details to add?
Emergency Contact Information
Patient or Parent Signature
1210 Water Street Kelowna, BC V1Y 0J5
Monday: 9am – 7pm Tuesday: 8am – 5pm Wednesday: 8am – 5pm Thursday: 8am – 7pm Friday: 9am – 2pm (every other Friday)
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Give us a call or fill out the form below and one of our friendly team members will be happy to help you!