New Patient Consultation Form
Care That Goes Beyond
Getting Ready for Your First Visit
Our team fills out this intake form when you call to book your first visit. It collects your contact details, your referring dentist, the reason you are looking into orthodontic care and your insurance, so we are ready for you when you arrive.
Before You Start
- Have your insurance company name and policy or group number handy.
- Know your referring dentist’s name if you were referred.
- Tell us what you would like to change about your smile.
Questions about this form? Call or text our South Surrey office at (604) 502-5155.