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All About You

We look forward to meeting you at your first appointment.  Please take a moment to print and complete the Medical History which applies, as well as the Child Sleep Questionnaire or the “Snoring is No Joke” and Pain Questionnaire for adults.  All of these forms are required for patient registration and will be discussed at your New Patient Exam appointment.

If you have a dental insurance plan please ensure you have checked the Financial Info Tab for the required forms you will need to bring with you to have your claims submitted electronically.

 

Child Medical/Dental History 16 and Under printable form - pdf 41kb

Adult Medical History printable form - pdf 43kb
 
Snoring is No Joke - pdf 18kb
 
Child Sleep Qustionniare - pdf 31kb
Pain Questionnaire for Adults - 14kb
 
Patient Health Questionnaire - pdf 1.3mb
Head, Neck, TMJ and Facial Pain or Dysfunction Screening Questionnaire - 378kb
 
Parent Child Guide Book of Lanark, Leeds, Grenville
 
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