Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form PDF
  • Privacy Form PDF

If you’re unable to open PDF files, you can get Adobe Reader® for free.

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Whitby Office

(905) 668-5815

112 Athol St #200

Whitby, ON L1N 3Y9

pickering dental

Pickering Office

(289) 631-0901

1080 Brock Rd, Suite 2

Pickering, ON L1W 3H3