We are closed December 22 to January 2. We will re-open on January 5.

Qualicum Beach (250) 752-0818

Port Alberni (250) 723-1333

New Patient Form

Welcome to Tremblay Orthodontics!

Now that you have booked your first appointment, you will need to fill out our new patient form to get started. 

Please use one of the options below to submit the form online.

Child Health History Form 

Adult Health History Form