Make an appointment today: 403-226-4788

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DENTAL INSURANCE INFORMATION

MEDICAL HISTORY

Yes
No
Yes
No
Yes
No
Penicillin
Codeine
Local Anesthetic (“freezing")
Aspirin (ASA)
Sulfa Drugs
Yes
No
Yes
No
Yes
No
Heart Trouble or Stroke
Heart Murmur
Thyroid Disorder
Rheumatic Fever
Breathing Problems
Arthritis
HIV Positive
Tumors or Cancer
High/Low Blood Pressure
Hepatitis
Liver Disease
Kidney Disease
Mental Illness
Diabetes
Tuberculosis
Epilepsy or Seizure
Blood Disorders
Hormonal Disorder
Yes
No
Yes
No

DENTAL HISTORY

Yes
No
Bleeding Gums
Drifting of Teeth
Gum Ache
Receding Gums
Loose Teeth
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Calm
Slightly Nervous
Very Anxious

Confirmation

I hereby certify that the Medical and Dental Histories provided are accurate and complete to the best of my knowledge. I consent to the performing of the dental and oral surgery procedures agreed to be necessary or advisable, including the use of general or local anesthetic or any drugs as indicated and I will assume responsibility for fees associated with those procedures.

Information

Panatella Dental
650, 1110 Panatella Blvd. NW
Calgary, AB, T3K 0S6


Phone: 403-226-4788
Fax: 403-226-4791
Email: info@panatelladental.com

Hours of Operation

Monday 07:00 AM - 08:00 PM

Tuesday 07:00 AM - 08:00 PM

Wednesday 07:00 AM - 08:00 PM

Thursday 07:00 AM - 08:00 PM

Friday 08:00 AM - 04:00 PM

Saturday 08:00 AM - 04:00 PM

Sunday Closed

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We proudly provide general, family, and cosmetic dental services to residents of the following neighborhoods of NW Calgary:

  • Panorama Hills

  • Country Hills

  • Country Hills Village

  • Harvest Hills

  • Coventry Hills

  • Cinnamon Hills

  • Hidden Valley

  • Hanson Ranch

  • Evanston

  • Creekside

  • Sage Hill

  • Nolan Hills

  • Livingston

  • Carrington

  • Kincora

  • Macewan

  • Sandstone

"This website is copyright J.A. THURMEIER PROFESSIONAL CORPORATION, Canada, 2010. Copying all or any portion of this website is strictly prohibited without the prior written consent of J.A. THURMEIER PROFESSIONAL CORPORATION. All rights reserved."

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