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NEW PATIENT REGISTRATION FORM

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📄 Download Form 

If you prefer to print and complete forms by hand, click below to download: 

🖊 Fill Out Form Online 

Skip the printing — complete your form directly online:

💡 How to Submit 

​If downloaded: Email completed forms to info@hbirdsmiles.com.​

 

If online: Forms are sent to us automatically once submitted.

Need Help?

If you have questions or need assistance with forms, contact us at:

📧 Email:
info@hbirdsmiles.com

📞Phone: +1 (604) 282 - 3966
 

Locations we serve

Serving long-term care,

assisted living,

and private homes

across BC.

Contact us

Thanks for submitting!

Email us: info@hbirdsmiles.com

Phone us: (604) 282-3966

Address: PO Box 37086 Lonsdale PO North Vancouver BC, V7M 4M4

© 2025 Hummingbird Hygiene Inc.

All Rights Reserved.

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