Kingston West Dental Centre- Main
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FORMS

Save time and eliminate the hassles of filling out health history forms when you visit us. For your convenience, simply download and print the forms below. Just complete before you visit, and remember the forms when you visit us for the first time. 

New Patient Health History Form
Release of Information form
Express Consent for Email and Text Correspondence
Patient Consent Form for Use of Personal Health Information





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Contact Us

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​​613.389.0464
Contact us today with your questions or to schedule an appointment.
  • Home
  • About Us
    • Our Team >
      • Meet our Dentist
    • How We Can Help
    • Clinic Tour
    • Links and Research
  • Services
  • New Patients
    • Fees
    • Forms
  • Contact Us
  • COVID-19
    • Covid-19 Patient Visit Guide
    • COVID-19 Patient Screening