New Patients are always welcome at Health Centre Dental Office.

For your convience, we have provided you with the Patient Information and Medical History Form online. You can fill out this form on your computer and then print it out and bring it with you to your first visit.

• Click here for the New Patient form (350kb)

How To Use This Form

Requirements

• Adobe Acrobat Reader must be installed on your computer to be able to view a pdf document. If you do not have Acrobat Reader you can download it free from Adobe
• A Printer must be hooked up to your computer. Also you must have paper available.

Instructions

1. Click on the above link - This will open the form in a new browser
2. Fill in all fields on the form that apply to you
3. Print the form. You can print 2 copies and keep one for your records
4. Sign the form