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Pre-Appointment Forms

Please fill out the appropriate electronic questionnaires below prior to your appointment and your responses will be submitted automatically to us.

Your information is protected and secure: HIPAA-certified.

Request Appointment

COVID-19 Patient Screening and Consent Form

Complete Form

New Patient Registration Form

Complete Form

Privacy Form

Complete Form

Instructions for Oral/Moderate Sedation

Complete Form

Orthodontics Informed Consent Agreement

Complete Form

(FOR STAFF) COVID-19 Employee Daily Consent Form

Complete Form

Formulaires en Français

La loi du gouvernement fédéral sur la vie privée

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 Formulaire d'enregistrement pour les nouveaux patients

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New Patients Always Welcome

Looking for a dentist in Ottawa? We're happily accepting new patients at our dental clinic! Contact us to get started today. 

Request Appointment
(613) 230-7475