• About
    • Our Mission
    • Our Clinic
    • Our Team
  • Services
    • All Our Services
    • Veneers
    • CEREC One-appointment Crowns
    • Professional Whitening
    • Testimonials
  • Resources
    • Covid-19 Protocol
  • FAQ
  • Contact
  • About
    • Our Mission
    • Our Clinic
    • Our Team
  • Services
    • All Our Services
    • Veneers
    • CEREC One-appointment Crowns
    • Professional Whitening
    • Testimonials
  • Resources
    • Covid-19 Protocol
  • FAQ
  • Contact
Menu
  • About
    • Our Mission
    • Our Clinic
    • Our Team
  • Services
    • All Our Services
    • Veneers
    • CEREC One-appointment Crowns
    • Professional Whitening
    • Testimonials
  • Resources
    • Covid-19 Protocol
  • FAQ
  • Contact
Book Appointment

Online Forms

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+ 1 541-754-3010

Online Forms

Request Appointment >
+ 1 541-754-3010

Online Forms

Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form

We enrich lives,
one smile at a time.

Book Appointment

Opening Hours

Monday         8am – 5pm

Tuesday        8am – 5pm

Wednesday  8am – 5pm

Thursday      8am – 5pm

Contact

  • 604-568-8158
  • smile@smilecitysquare.com

125 – 555 West 12th Avenue
Vancouver, BC V5Z 3X7

Location

© 2022 Smile City Square Dental. All rights reserved.

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© 2022 Smile City Square Dental. All rights reserved.

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