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*OUR CLINIC IS NOW OPEN. PATIENTS WILL NEED TO CALL OR EMAIL TO SCHEDULE AN APPOINTMENT, WE WILL NOT BE ACCEPTING WALK-INS TEMPORARILY DUE TO COVID-19* | 780-250-2728|info@clear-dental.ca
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  • Clear Dental Education
  • ABOUT US
  • TREATMENTS
  • FORMS
    • FOR PATIENTS
    • FOR DENTISTS
  • RESOURCES
    • BEFORE AND AFTERS
    • BLOG
    • PAYMENT & INSURANCE
    • VIDEOS
    • WHAT TO EXPECT
  • CONTACT US
  • BOOK NOW
  • Clear Dental Education

Dental History Form

Dental History Forminboundsquad2020-11-18T13:52:20-07:00

Patient Dental History

Gum and Bone

Tooth Structure

Bite and Jaw Joint

Smile Characteristics

Medical History

Please advice the office in the future of any change(s) in your medical or dental history as well as medications you may be taking.

Contact

Clear Dental logo

#103, 4222 Gateway Blvd
Edmonton, AB T6J 7K1

780-250-2728
info@clear-dental.ca

Treatments

Veneers
Dental Implants
Dental Crowns
Composite Restoration
Crown Lengthening
Digital Smile Design
Extractions

Quick Links

Blog
Payment & Insurance
First Visit
Patient Information Form
Dental History Form
General Consent Form

Hours

Monday

8:30AM - 4:30PM

Tuesday

8:30AM - 4:30PM

Wednesday

8:30AM - 4:30PM

Thursday

8:30AM - 4:30PM

Friday

8:30AM - 4:30PM

Saturday

CLOSED

Sunday

CLOSED

By Appointment Only

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