New Patient Forms

By filling out these forms ahead of time you will save significant time on your visit. If you have any questions when filling out the form, please do the best you can, and our staff will assist you with your questions on the day of your appointment.

Digital New Patient Forms

The following forms can be filled and submitted online form any device (phone, tablet, laptop or desktop).
At the end use your finger or mouse to sign the forms digitally.

Online Version
Medical / Dental Records Forms
Medical/Dental History
Dental Records Release
COVID-19 Screening
Consent Forms
COVID-19 Pandemic Emergency Dental Risk
Personal Information Consent
Consent for Root Canal Treatment
Consent for Crowns & Bridge Prosthetics
Consent for Endodontic Treatment
Consent for Extraction of Teeth
Consent for Crown Lengthening
Consent for Gingival Grafting Surgery
Consent for Implant Removal
Consent for Implant Surgery
Consent for Maxillary Sinus Elevation Surgery
Consent for Nitrous Oxide/Oxygen Sedation
Consent for Social Media

Download Paper Forms (PDFs)

The following forms can be downloaded to your computer. Please complete the information and bring them with you to your first visit.

Download Paper Forms (PDFs)
Medical / Dental Records Forms
Registration Form
Dental Redords Release
COVID-19 Screening
Consent Forms
COVID-19 Pandemic Emergency Dental Risk
Personal Information Consent
Consent for Root Canal Treatment
Consent for Crowns & Bridge Prosthetics
Consent for Extraction of Teeth
Consent for Crown Lengthening
Consent for Gingival Grafting Surgery
Consent for Implant Removal
Consent for Implant Surgery
Consent for Maxillary Sinus Elevation Surgery
Consent for Endodontic Treatment
Consent for Nitrous Oxide/Oxygen Sedation
Consent for Social Media

Technical Note:
Our online forms use the Adobe Acrobat Plugin.
Please download the free plug-in from Adobe's website if it is not already installed on your system. It is important that you have the latest version, in order to open, fill and save our forms.

Get Adobe Reader

Same-Day Appointments & Emergency Walk-ins

New Patient Forms

Digital New Patient Forms

Download Paper Forms (PDFs)

Top-Rated Dentists in Mississauga