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Online Patient Forms

Finish your paperwork from the couch — every form autosaves on your device as you type, works beautifully on your phone, and takes minutes, not waiting-room half-hours.

New & Returning Patients

New Patient Registration

Your complete intake — personal details, insurance, and health basics in one guided flow.

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Medical History

Update your health conditions, medications and allergies before your visit.

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Dental History

Tell us about your past dental care, concerns and goals.

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Insurance Information

Add or update your coverage so we can bill your plan directly.

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Consent Forms

Review and electronically sign treatment and privacy consents.

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Emergency Contact

Keep your emergency contact details current on your file.

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Appointments & Consultations

Appointment Request

Request your preferred day and time — we'll confirm within one business day.

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Emergency Dental Request

In pain? Tell us what's happening and we'll triage you for a same-day visit.

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Online Consultation Request

Ask a question or request a virtual consult — attach photos if helpful.

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Implant Consultation

Book your complimentary dental implant consultation.

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Smile Makeover Consultation

Tell us what you'd change — start your smile design conversation.

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Sedation Assessment

Start the safety screening for nitrous oxide or oral sedation from home.

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Children's First Visit

Help us make your child's first appointment a happy one.

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Other Forms

Referral Form

For dental offices referring a patient — including pediatric specialist referrals.

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Employment Application

Join our team — tell us about yourself and attach your resume.

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Feedback

Compliments, concerns or ideas — we read every word.

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Prefer paper? No problem — arrive 15 minutes early and we'll have everything ready. Questions? Call (613) 491-3300.

Ready for a Healthier, Happier Smile?

New patients are always welcome — and same-day emergency appointments are available. Book online in under a minute, or give our friendly team a call.

Book an Appointment (613) 491-3300