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Medical History Forms

You can now download, print and complete your medical history form prior to your appointment.

Please fill in all the relevant information before attending your appointment.

You are not only assisting us to stay on schedule, but it also provides us with all the necessary information required to provide you with the best dental treatment possible.

Forms for children under 16

DOWNLOAD PDF – Medical & Dental History Form — 16 Years and Younger

Forms for adults

DOWNLOAD PDF – Medical & Dental History Form — Adult

COVID-19 Screening Questionnaire

Complete the form online HERE

If you choose to download and complete your Medical History Forms, please present your completed Medical & Dental History Form to our friendly front desk staff.