New Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time on your visit. If you have any questions when filling out the forms, our staff will assist you with your questions on the day of your appointment.

Download Forms Size
New Patient Form 90 Kb
Record Release Form 67 Kb
All forms are available in PDF format. To view these files, you need to install Adobe Acrobat Reader to work with your browser. Please note that you need the latest version of Adobe Acrobat Reader to correctly read our forms. If you have problems opening a form, please try to update your version of Acrobat Reader.



Village Dental - Etobicoke

Our Address

4931 Dundas Street West,
        Etobicoke, ON M9A 1B6

Online Appointment

Request an Appointment
416-233-9638
  info@villagedental.ca