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"We are always happy to accept new patients"

Interested in booking an appointment? Click here to contact us online.

For your convenience, you may fill out our new patient forms online and e-mail them directly to our office, or print the form at your home bring it with you when you come for your first visit

Patient Information Form - Adult

  • Complete the form and submit using our secure server
    Click here and either print to bring in, or send online

  • Download and print
    Right-click on the link below and save the pdf file onto your computer. You can then open the form using Acrobat Reader and fill in the details to print and bring into our office
    download and print

 

Patient Information Form - Child

  • Complete the form and submit using our secure server
    Click here and either print to bring in, or send online

  • Download and print
    Right-click on the link below and save the pdf file onto your computer. You can then open the form using Acrobat Reader and fill in the details to print and bring into our office

    download and print

The pdf forms above require Acrobat Reader. Click here to download & install a free copy.


Your appointment time will be reserved for you. If you are unable to keep the appointment we ask that you please give our office 48 HOURS NOTICE, otherwise a fee may be charged for lost office time. Our office policy is that dental services are paid for at the end of each visit for which they are provided. In certain circumstances however, payment terms may be arranged with our office manager.

St. Andrews Shopping Centre - 2 Orchard Heights Blvd. Unit 45 - Aurora Ontario - L4G 3W3
Tel: (905) 727-8586 - Fax: (905) 727-4283 - info@orchardheightsdental.ca
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