Pacific Dental Centre
Patient Forms

Pacific Dental Centre

New Patient Forms

Welcome to Pacific Dental Centre.

For new patients, prior to your appointment, you can save time by completing these forms before your visit.

Please email the completed forms to:

info@pacificdentalcentre.ca

i

COVID-19 Consent Form

To ensure patients understand COVID-19 and the protocols set out by BC, all patients must complete this form.

i

BCDA COVID-19 Pandemic Risk Form

To ensure patients understand COVID-19 and the protocols set out by BC, all patients must complete this form.

Medical History Form

All new patients to our clinic need to complete a medical history form to give our dentists an overview of previous procedures done.

m

Medical File Transfer Form

Patients may request to transfer their medical information to other health providers. This helps with understanding the dental history of the patient.

Pacific Dental Centre

Dental Whitening

p

Post Dental Whitening Information

After a dental whitening, please follow these instructions.

Pacific Dental Centre

Night Guard

p

Night Guard Information

Additional information and instructions to care and use your night guard.

Quick Appointment

Simply enter your contact info, we will reach out!