New Patient Intake

We're so happy to be welcoming you to the Maxillo Winnipeg family. As part of our intake process we have a few forms we need you to fill out. These forms include our "New Patient Information" form and our "Medical History Questionnaire", both which will help us get to know a bit about you and speed up our administration before you arrive.

These forms can be filled out digitally using the links below, or downloaded and emailed to us directly. We'll follow up once we've received your forms.

Downloadable Forms

If you are unable to fill out the digital forms, please download them here and email the completed copies to:

admin@maxillowinnipeg.ca.

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Our goal at Maxillo Winnipeg is to ensure our patients receive safe and comfortable treatment in a fully accredited surgical facility.

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HENDERSON

755 HENDERSON HWY

SUITE 303

WINNIPEG, MB

R2K 2K5

CANADA

PORTAGE

2305 PORTAGE AVE

WINNIPEG, MB

R3J 0M6

CANADA