Forms and Instruction

forms and instruction | brandon periodontalWe pride ourselves in knowing our patients and understanding their needs when it comes to periodontal disease.

If you are a new patient visiting our office for the first time, please fill in the personal, dental and medical history forms and the patient insurance form available below. Please bring these forms with you to your appointment.

Patient Forms


For a Consultation

Call: 204-726-1211

No Referral Necessary

Our Location

1100 Richmond Avenue, Unit B
Brandon, MB
R7A 1M6


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Phone: (204) 726-1211
Fax: (204) 571-1560

Office Hours

Monday – 8:00am – 4:00pm ( *admin staff)
Tuesday 8:00am – 5:00pm
Wednesday 8:00am – 5:00pm
Thursday 8:00am – 5:00pm
Friday 8:00am – 5:00pm
Saturday Closed
Sunday Closed