Big Sky Dental

Phone: 604.894.5111 
106-1436 Portage Rd. Pemberton, BC


106-1436 Portage Rd.
Pemberton, BC

Acknowledgement FORM

Adapted from Dental Association of PEI COVID-19 Pandemic Emergency Dental Risk Acknowledge by Patient
Copyright © 2020 British Columbia Dental Association.

Please note that no data transmission over the internet can be guaranteed to be 100% secure.  As a result, we cannot guarantee the security of any information you transmit to us over the internet, and you do so at your own risk.  If you would prefer to contact us by telephone to complete this screening questionnaire, please call 604-894-5111.
Book an Appointment