New patients
Patient forms
Complete your forms securely online, print the PDFs, or fill them in when you arrive.
Fill them in online
One secure form covers registration, dental history, medical history and consent. Only clinic staff can see your answers.
Start online formsOr download the PDFs
- Patient Registration FormPDF, opens in new tab
- Dental History FormPDF, opens in new tab
- Medical Health FormPDF, opens in new tab
- General Consent FormPDF, opens in new tab
Need another way?
If the PDFs don't work for you, or you'd like help filling them in, call (519) 914-5355. You can also complete the forms with our team at the clinic.
Please don't email completed forms
Email isn't secure for health information. Use the online forms or bring the PDFs to your visit.
Forms open from the clinic's current website.
Appointments
Ready when you are.
Send a request and our team will contact you to find a time. A request is not a confirmed appointment.