Logo of Kim-Anh Nguyen dental clinic
Patient zone

Medical form

When you come in for your first appointment, we will need all relevant information on your health. We suggest you download this PDF questionnaire. You can then print it and fill it out at home. This will ensure that you have access to all your health-related information, for example your prescriptions. Finally, bring the form with you on appointment day.

Rest assured that all information will remain confidential.

Appointment cancellations must be made by telephone or e-mail at least 48 hours in advance or a service charge will apply.

Clinique Dentaire Kim-Anh Nguyen
2640 Rue Allard
Montréal (Ville-Émard), Québec
H4E 2L6

(514) 761-4501
Dental clinic
Patient zone
Kid zone
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