Forestwood Dentistry, Richmond Hill Dentists

CALL US TODAY 905-770-0099 1390 MAJOR MACKENZIE DR. E. UNIT A1 RICHMOND HILL, ONTARIO L4S-0A1 CANADA INTERSECTION Major Mackenzie & Leslie  
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Existing patient information changes and updates form

Existing patient information changes and updates form

Please fill below to update our patient files prior to your appointment.

MM slash DD slash YYYY
Name:
Current or updated address:
Max. file size: 64 MB.
Are you currently taking any medications/vitamins?
Max. file size: 64 MB.
Have there been any changes to your health in the past 2 years?
Have you contracted Covid-19 in the past 3 Months?
Please check applicable choice below:
Please check applicable choice below:

Thank you for taking the time to update your information.

Patient name:
MM slash DD slash YYYY

Once fully read and reviewed, please make sure that the above document is filled out appropriately. By signing below and submitting this document, we are assuming that it has been read in its entirety. All patient signatures will be verified for authenticity in the office.

Contact

PHONE: 905.770.0099

ADDRESS:
1390 Major Mackenzie drive East, Unit A1,
Richmond Hill
L4S-0A1 Canada

EMAIL: info@forestwooddentistry.ca

Location

Hours

  • Mon9:00am -5:30pm
  • Tues11:00am-7:00pm
  • Wed11:00am-8:00pm
  • Thu 10:00am-7:00pm
  • Fri   9:00am-3:00pm
  • Sat 9:00am-3:00pm
  • Sun10:00am-3:00pm
Copyright 2014. Forestwood Dentistry - Richmond Hill Dentists - All Rights Reserved.