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Vernon Denture Clinic

Bringing unique smiles to life

Phone: 250.542.9117 or Toll-Free: 1.877.539.1972
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Patient Forms

New Patient Intake Form

All new patients must complete a New Patient Intake Form.

Please consider completing this form online prior to your first appointment with us as this will save time during your initial appointment. You will need approximately 5–10 minutes to complete this form online.

Self-Referral and Questions

You do not need a referral to schedule an appointment with a denturist.

If you would like book an appointment to see a denturist, or if you have questions about denture treatments or related services, please submit a Self-Referral Form.

We will contact you within one business day of receiving your completed self-referral form.

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2910 – 31st Avenue
Vernon, BC V1T 2G4

Tel: 250.542.9117
Toll-Free: 1.877.539.1972
Fax: 250.542.9677
Email: admin@vernondentureclinic.com

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