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Confidential Patient Information
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Insurance Information Worksheet
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Patient Medical and Dental History
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Instructions for patients. Problems and solutions documents.
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Rapid Expansion Appliance
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Clear Retainers
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Port Coquitlam
210-2755 Lougheed Highway
Port Coquitlam, BC V3B 5Y9
Tel: 604.464.2527
Fax: 604.464.2588
drs@jsortho.com
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Richmond
600-6091 Gilbert Road
Richmond,
BC V7C 5L9
Tel: 604.278.2108
Fax: 604.278.2109
drgeoff@hgsortho.com
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Did you know our practice is a premier provider of
Invisalign
treatment by Align Technology?
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