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Chinook Oral & Maxillofacial Surgery

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Lethbridge Office Phone Number 587-425-1600

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200 - 4th Avenue South, #121 Lethbridge, AB T1J 4C9

Lethbridge Office Phone Number 587-425-1600

Quality Assurance Questionnaire

Quality Assurance Form

Please pick the doctor that treated you:
Name
First Last
Date of Birth
Age
Were you greeted in a friendly manner both initially by phone and at your first visit to our office?
- Yes
- No
Did the consultation visit answer questions/concerns, and allay anxiety you may have had?
- Yes
- No
Have you ever been kept waiting an unreasonable length of time to see the doctor?
- Yes
- No
Did you find your oral surgery to be as unpleasant as you originally thought it might be?
- Yes
- No
Were the post-operative instructions helpful?
- Yes
- No
Were the financial matters handled in a professional manner?
- Yes
- No
If there was a need for you to have oral surgery again, would you return to this office?
- Yes
- No
How could we improve the service we render to our patients?
Referring Dentist or Physician
Please add any additional comments or concerns.
Do you want us to contact you regarding your care?
- Yes
- No
If yes then please provide us with a Phone Number and or email address that we can contact you at.
Email
Phone
Preference
This field is for validation purposes and should be left unchanged.

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Please contact our office by phone or complete the patient registration form. Our scheduling coordinator will contact you to discuss an available appointment and answer any questions you may have.

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Serving Lethbridge & All The Local Surrounding Communities Across Southern Alberta, Saskatchewan, & British Columbia

200 - 4th Avenue South, #121
Lethbridge, AB T1J 4C9
587-425-1600

Learn more about Get Directions

200 - 4th Avenue South, #121
Lethbridge, AB T1J 4C9

Tel: Lethbridge Office Phone Number 587-425-1600 Fax: 587-425-1601

We are proud to offer compassionate care to our community.

Modern Treatments and Technologies
A Genuine Passion for Patient Care
Striving For Excellence

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