Humboldt Denture Care
Humboldt Denture Care
Humboldt Denture Care
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  • Home
  • About Us
  • Denture Services
  • Gallery
  • Pre-Appointment Form
  • Contact Us

Pre-Appointment Form

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  2. Pre-Appointment Form
  • Patient Information and Consent Form

    Download this Form.

  • Medical Information (please provide ALL necessary details in blank space provided):

  • I have read and understand all of the above questions, and have made every effort to answer them truthfully. I give full consent to my denturist to collect all other necessary medical and dental information from my doctor, dentist, and/or oral surgeon, relevant to such treatment as may be required.

phone306-682-4357

fax306-682-3620

Open Hours

Mon-Thurs 9am – 4pm
Fri 9am-3pm

(Extended hours by appointment only)

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323 Main Street Humboldt, SK S0K 2A0

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