Patient Forms

Patient Self-Referral Form

Patients do not require a dentist’s referral in order to seek treatment from a denturist.

If you would like to schedule an appointment with Kelowna Denture Clinic, please complete our Patient Self-Referral Form. We will contact you within one business day to confirm an appointment date and time.

New Patient Intake Form

All new patients at Kelowna Denture Clinic will need to complete a New Patient Intake Form. The process takes 5–10 minutes.

To maximize your appointment time with us, please consider completing this online form at home. Alternatively, we can email the form to you

Patient Consent Form

Kelowna Denture Clinic (the “Clinic”) is committed to protecting the privacy of our patients’ Personal Information and to utilizing all Personal Information in a responsible and professional manner and in accordance with British Columbia’s Personal Information and Protection Act (“PIPA”). All new patients at Kelowna Denture Clinic will need to consent to terms provided therein and submit a Patient Consent Form.

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