Please Note:
effective immediately, we are not taking any new clients
until further notice.
To receive our dental services, you must complete an application and verification process. This includes the completion of four forms and the verification that your family income is less than $70,000/year.
The new Federal Government Canadian Dental Care Plan (CDCP) comes into effect in May 2024, and any new patient who is registered with CDCP will also need to complete our application and verification process. The reason for this is that CDCP patients’ incomes vary between $70,000 and $90,000, and we are only able to accept patients at this time who have incomes up to $70,000 in our clinic. Other patients, including families over that amount, will have to find a regular fee dental clinic.
To determine if you qualify for the new Canadian Dental Care Plan (CDCP), go to your local Federal Government Service centre or go to their website > > >
Once approved under CDCP, complete our application and verification process.
The “CDCP welcome letter” has the effective date of coverage,
bring this letter when going to the Verification Centre.
New clients with a net family income under $70,000 will register at one of these
Verification Centres:
As printing is not available there, bring paper copies of any forms you have filled out from the website. Forms will also be available on-site.
Nelson – Community First Health Co-op, 518 Lake St., Drop-in Tuesdays from 1:00–3:00 pm.
Trail – Please phone Esther Brown for an appointment: 250-921-5484
Castlegar – Community Harvest Food Bank. Please phone for an appointment: 250-608-2227.
Kaslo—Kaslo Community Services. Please phone 250-353-7691 for an appointment Monday through Thursday, 9:00 a.m. to 4:00 p.m.
or Kaslo Primary Care Centre on Tuesdays and Thursdays. Please phone for an appointment with Jenny Hide: 250-353-2291.
Circle of Indigenous Nations — contact Sage Laboucan: 250-608-4552; fax: 250-399-0731 – healthcoordinatorwk@coinations.net; Josie Moro for Grand Forks and Boundary: 250-444-9599 – healthcoordinatorgf@coinations.net; Katie Rumbolt for W. Kootenay and Boundary acute care sites: 250-551-4395 – patientnavigator@coinations.net.
The forms are available online below. You can download and complete them as a fillable PDF document on your computer and then print them, or you can print them and complete them by hand. Either way, our registrar must review them at one of our Verification Centres noted above.
Proof of income (by your last income tax return document or assessment form)
or proof that you are on a Ministry program must be provided.
After your Application Form has been verified, it will be sent to the clinic with the other three forms. You will be given a slip of paper with the date one week from that day and the clinic phone number. You are to phone the clinic any time after the written date to ask for an appointment.
Application Form
This form must be verified at your registration appointment before you can receive dental services.
Medical History
Complete this form and bring it to your registration appointment.
Dental History
Complete this form and bring it to your registration appointment.
Patient Agreement
This must be accepted to confirm your responsibilities. Complete this form and bring it to your registration appointment.