Medical Questionnaire

During a first visit, it is important to fill out a form providing us with all the information relating to your state of health. To speed up the process, we invite you to complete this Medical form (pdf format) and return it to us by email:

1. Click on this link to download the Medical form (pdf format)
2. Save the pdf form on your computer
3. Fill out and save the form again on your computer
4. Send us the Medical form (pdf format) attached to the following email address info@westmountsmiles.com.