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204-832-1127

Are You a New Patient at Dr. Geoff Shaffer’s Office?

Helpful Information for Winnipeg Patients

Dr. Geoff Shaffer welcomes new patients of all ages in his Winnipeg office. Please take a few moments to look over this helpful information prior to your first appointment. You may also feel free to contact our office with any questions or concerns you may have. We’d be more than happy to help!


New Patients: Please Download this Form

Please download and fill out our New Patient Form prior to your first visit. Be prepared to provide your contact information, medical and dental history, employment information and insurance information on this form.


Download the New Patient Form (PDF)


Assignment of Benefits Agreement

Our office will accept direct payment from your insurance plan for dental services we provide that are covered by your individual insurance plan. Please be aware that due to strict privacy laws, we are unable to know the details of your individual insurance plan. For this reason, we ask for your understanding if we are unable to provide financial details pertaining to your insurance at the time treatment is planned. We will, however, strive to provide you with the most accurate estimate possible prior to commencing treatment.


Please take a few moments to look over and sign our Assignment of Benefits Agreement prior to your first visit.

Download Agreement

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