• You must live in the North Okanagan which includes Cherryville, Lumby, Lavington, Coldstream,                          Vernon, Spallumcheen, Armstrong, Enderby, Grindrod or Falkland.

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• ​ You must be on Income Assistance, Persons with Disabilities or have a combined "adjusted"     family income less than $35,000.

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Registration Forms

Due to the severe dental staffing shortage in the North Okanagan

we are unable to accept new patients at this time.  We are desperately

seeking new staff.  We encourage you to check our website regularly

for the most up-to-date information.

(Registrations will not be accepted in office.)

Please fill out the form below and click SUBMIT at the bottom of the second page.  

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      As soon as we are accepting new patients, our friendly staff will contact you to     discuss  your qualification and set up your first appointment.    Phone 778-475-7779 -     weekdays between 9 am and 4 pm.  

If you have trouble accessing this form on your phone please try a computer

What to bring to the office for your first appointment.

Current Tax Assessment Notice

     if you are not on Income 

          Assistance or PWD

Proof of Address

junk mail or bill showing your

name and address

BC Health Card

for each family member

List of Medications

with dosages