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Call Us : 604-271-4048

Email: info@cleardental.ca

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Dental / Medical History Forms

You may preregister with our office by filling out our online Patient Registration Form.

btn-dental-form Dental / Medical History Forms | Richmond Dentists btn-medical-form Dental / Medical History Forms | Richmond Dentists
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You can send these forms by:

  1. Bring them with you to your first appointment.
  2. Fax:  604-277-3421
  3. Mail them to us before your appointment:

Richmond Medical Centre
260 – 6180 Blundell Road
Richmond, BC, V7C 4W7

get_adobe_reader Dental / Medical History Forms | Richmond DentistsThis 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.