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Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Forms (Print & Complete All Forms Prior To First Office Visit) 


 Release Form (Please sign at the bottom of the page and write the name and number of your previous dentist and/or  dental office at the top and return to us as soon as possible)

 

Assignment of Benefits Form - This form is to be completed for those who wish the insurance cheques to come to us. Please read the form, and return it completed to our administrative team

  

Notice Regarding Insurance Benefits


 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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