Referral and Patient Forms

Dentists: Please download and fill out the Patient Referral Form and email/Fax it to our office. Our office will contact the patient and schedule a consultation with Dr. Tseng. 

Patients: Following your consultation with Dr. Tseng, please download the Patient Medical History Form. You will need your family physician to fill out the Patient Medical History Form and fax/email/bring the form to Vancouver Island Dental Anesthesia.  Please here for clinic contact information.

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