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Foothills Dental Center Dr. Andrew Made Dr. William VU 123 Jasper Street Hinton, AB, T7V 2A8 foothillsdentalcentre.com (780) 8657673REFERRAL FORM INTRODUCING: DOB: EMAIL: CELL PHONE: APPOINTMENT DATE:
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01
First, gather all the necessary personal information such as full name, date of birth, address, and contact details.
02
Visit the Foothills Dental Centre website or go to their physical location to obtain a copy of the patient registration form.
03
Fill out the form using legible handwriting or type the required information directly into the online form if available.
04
Provide accurate details about your dental history, including any current dental issues, past treatments, and medications.
05
Indicate your preferred appointment date and time, if applicable. Foothills Dental Centre may contact you to confirm the appointment.
06
Review the filled-out form for any errors or missing fields before submitting it.
07
Submit the completed form by either submitting it online or handing it over to the receptionist at the dental centre.
08
Wait for a confirmation or acknowledgment from Foothills Dental Centre regarding your registration.
09
If necessary, bring a copy of your insurance card or any other relevant documents during your first dental appointment.
10
Arrive at least 15 minutes before your scheduled appointment time to complete any remaining paperwork and to ensure a smooth check-in process.

Who needs foothills dental centre?

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Anyone in need of dental services can benefit from Foothills Dental Centre.
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This includes individuals seeking general dental care, preventive treatments, cosmetic dentistry, orthodontic services, oral surgery, dental implants, and more.
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Foothills Dental Centre caters to patients of all age groups, from children to seniors.
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Whether you require routine check-ups, teeth cleaning, tooth extractions, restorative treatments, or specialized dental procedures, Foothills Dental Centre can meet your needs.
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If you want to maintain good oral health or address specific dental concerns, Foothills Dental Centre is designed to provide comprehensive dental care services to a wide range of individuals.
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Foothills Dental Centre is a dental clinic that provides a range of dental services, including general dentistry, orthodontics, and cosmetic procedures, typically aimed at maintaining and improving oral health.
Individuals or families seeking dental services at the Foothills Dental Centre, as well as dental professionals managing patient records and billing, may be required to file necessary documentation for appointments and insurance purposes.
To fill out forms for the Foothills Dental Centre, patients should provide their personal information, insurance details, medical history, and any other specific information requested by the clinic in the provided forms, whether in paper or digital format.
The purpose of Foothills Dental Centre is to provide comprehensive dental care and treatments to enhance oral health, prevent dental diseases, and promote overall health and well-being.
Patients must report personal identification information, insurance details, medical history, current medications, and any specific dental concerns or symptoms during their visit or on forms provided by the clinic.
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