Patient Forms

– Forms for New Dental Patients in Waterloo
– Waterloo Emergency Dental Centre Patient Forms

Dental Patient Forms

If you are a new patient to our office or if there are any changes to your health then you can complete the required forms online. Completing them prior to your visit will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please contact our office if you have any questions.

New Patient Form

Medical History Update

5 Year Medical History Update

Covid-19 Patient Screening Form

Covid-19 Pandemic Dental Risk Consent

About Us

It is our mission to ensure that you receive the dental care you need, find out more about our clinics serving Kitchener & Waterloo area

Patient Information

Our quick and professional care will have you back to normal in no time

Emergency Dental Services

Our caring professionals are experts at handling emergency situations with compassion and professionalism