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Home
About Us
Events
Office Tour
Meet Our Team
Why Us
Direct Bill to your Insurance
Alberta Dental Fee Guide
Parent FAQs
NIHB (First Nations)
Procedures
Emergency
Dental Anxiety
General Dentistry
Check-ups & Cleanings
Nightguards/ Sports Guards
Tooth-Coloured Fillings
Oral Cancer Screening
Gum Disease and Bad Breath
Periodontal Treatment
Halitosis Treatment
Scaling & Root Planing
Cosmetic Care
Porcelain Veneers
Teeth Whitening
Gum Contouring
Composite Bonding
Orthodontics
Invisalign
Traditional Braces
Restorative Dentistry
Dental Implants
Dental Crowns
Dental Bridges
Complete & Partial Dentures
Tooth-Colored Fillings
Additional Dental Care
Sedation Dentistry
Sleep Apnea & Snore Guards
TMJ Treatment
Bone Grafting
Children’s Dentistry
Sealants & Fluoride Treatment
Space Maintainers
Urgent Dental Care
Root Canal Therapy
Tooth & Wisdom Extraction
Smile Gallery
Blogs
For Patients
Your First Visit
Financial Options
Patient Forms
Dental Surgery Form
Important Covid-19 Update
Contact Us
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(403) 291-4945
Home
About Us
Events
Office Tour
Meet Our Team
Why Us
Direct Bill to your Insurance
Alberta Dental Fee Guide
Parent FAQs
NIHB (First Nations)
Procedures
Emergency
Dental Anxiety
General Dentistry
Check-ups & Cleanings
Nightguards/ Sports Guards
Tooth-Coloured Fillings
Oral Cancer Screening
Gum Disease and Bad Breath
Periodontal Treatment
Halitosis Treatment
Scaling & Root Planing
Cosmetic Care
Porcelain Veneers
Teeth Whitening
Gum Contouring
Composite Bonding
Orthodontics
Invisalign
Traditional Braces
Restorative Dentistry
Dental Implants
Dental Crowns
Dental Bridges
Complete & Partial Dentures
Tooth-Colored Fillings
Additional Dental Care
Sedation Dentistry
Sleep Apnea & Snore Guards
TMJ Treatment
Bone Grafting
Children’s Dentistry
Sealants & Fluoride Treatment
Space Maintainers
Urgent Dental Care
Root Canal Therapy
Tooth & Wisdom Extraction
Smile Gallery
Blogs
For Patients
Your First Visit
Financial Options
Patient Forms
Dental Surgery Form
Important Covid-19 Update
Contact Us
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Crowfoot Surgical Services
Pediatric and General Dentistry under General Anesthesia
Phone: 587-985-7620
Deb Crowfoot DDS
Strater Crowfoot DDS/MSD
Fax: 787-686-0157
adele.crowfootdental@gmail.com
Hobbema Dental Box 1803 Maskwacis, AB TOC 1N0
Please ensure that all information is complete as possible.
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Male
Female
Reason for Referral
Sever age-related behavior management limitations
Have complex and/or extensive treatment needed
Patient has significant medical condition or physical impairment
Patient has strong gag reflex
Dental Phobia/Extremely nervous
Patient has generalized decay on 4 or more teeth
Treatment Plan:
X-Rays
Mailed
With Patient
Emailed
Date Taken
Insurance
Self
Spouse
Child
Policy holder date of birth
Click box if location preference
Alberta Surgical Center, #202 West Tower, 14310-111 Avenue Edmonton, AB T5M 3Z7 (780) 488-2724
Thrive Service Centre, Unit 101, 6209-50th Street Leduc, AB T9E 7A9 (780) 612-7900
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