Call: (905) 727-4914

Patient Forms

There is a medical history form that will need to be filled out before our first visit with you. It would be great if you could come a few minutes early to fill this out in the office, with us. At that time, we can help you with any questions you might have. We look forward to meeting you!

If you would like any previous x-rays sent to our office before your first appointment, please print and fill out this form. This will help us to make your first appointment a little faster for you. You are welcome to scan and email it to us at, or send via fax at: 905-727-7789.

The only information we need from you on this form is: your previous dentist's name and phone number, your name and phone number, any family members who will be coming to see us, and your signature. If you have any questions, please give us a call at 905-727-4914.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.