Vernon Denture Clinic

Bringing unique smiles to life

Phone: 250.542.9117 or Toll-Free: 1.877.539.1972

Patient Forms

New Patient Information Form

All new patients will complete a New Patient Information Form. The process takes 5–10 minutes.

To maximize your appointment time, please consider printing out and completing this form at home and bringing the completed form with you on the day of your appointment.

Download PDF Form

Self-Referral and Questions

If you would like us to contact you for an appointment, please submit the requested information below. We will contact you within one business day to confirm your appointment details.

Self Referral - Question Form

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  • This field is for validation purposes and should be left unchanged.