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Patient Forms & Downloads

Call 204-253-2691

If you are new to our office, the attached file contains our new patient forms, which must be filled in prior to treatment. Printing, filling them in, and bringing them with you will allow us to attend to your medical needs quickly and efficiently. Thank you, and please do not hesitate to call our office with any further questions.

 

Fillable Patient Forms (Click, Save and Fill on your computer, print and bring to first visit)

Printable Patient Forms (Click, Save and Print, fill information and bring to first visit)


Download Instructions for

Poladay CP 35%

Poladay/Polanight

Zoom Post-Whitening Care Instructions

Post Extraction Instructions

Antibiotics and Your Heart (Patient information regarding Antibiotic Prophylaxis)

 


 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

 

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