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1100 Richmond Avenue, Unit B
Brandon R7A 1m6
Manitoba
Canada
Tel (204) 727-6453
Fax (204) 571-1560
Email Us

 

Patient Forms

We pride ourselves in knowing our patients and understanding their needs when it comes to orthodontic treatment.

If you are a new patient visiting our office for the first time, please fill in the biographical information form and the patient insurance form available below. Please bring these forms with you to your appointment.

 

Biographical Information Form - Child

Biographical Information Form - Adult

Orthodontic Treatment Payment Contract

Insurance Form

 

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