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“People Love Us On Google”

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New Patients Are Welcome!

Google Review Icon - Carstairs Dental
“People Love Us On Google”
260+ Google reviews
Home » New Patient Form Adult

New Patient Form Adult

  • MM slash DD slash YYYY
  • Patient Medical History

  • Patient Dental History

  • Upload a Photo

  • Max. file size: 2 GB.
  • I agree to pay value of said services,which shall be as billed unless objected to by me, in writing, within the time for payment thereof. I agree that a waiver of any breach of any time or condition hereunder shall not constitute a waiver of any further term or condition and I further agree to pay all costs and reasonable attorney fees if suit be instituted hereunder. I understand my personal information disclosed is protected by the Privacy Act. I agree that Carstairs Dental can electronically file dental claims on my behalf.

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Our Office

Address

1118 Hammond St. Carstairs,
Alberta T0M 0N0 Canada

Phone

(403) 337-2332

Email

info@carstairsdental.com

Business Hours

Monday: 10am – 6pm
Tuesday: 10am – 6pm
Wednesday: 8am – 4pm
Thursday: 8am – 4pm
Friday: 8am – 4pm
Saturday: Closed
Sunday: Closed