Pacific Dental
CALL US TODAY
(416) 762-9706
NEW PATIENTS WELCOME
BOOK ONLINE

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 form, please do the best you can, and our staff will assist you with your questions on the day of your appointment.

Fax: (416) 767-0842


Technical Note:
Our forms can be open with the Microsoft Word or Adobe Acrobat.
If you don't have Microsoft Word please download the Adobe Acrobat (free) from Adobe's website if it is not already installed on your system. It is important that you have the latest version, in order to open, fill and save our forms.

Spa Dent Boost Whitening Special!

Call to book your next dental cleaning and
add the Boost teeth whitening for an addition of $50.

Pacific Dental

For the healthiest gums use these formulas for brushing, flossing, massaging gums, mouth-rinses, proxa-brushes, sulca-brushes, rubber-tip stimulators to overcome sensitive teeth, to ease the recovery of oral surgery, and for general overall cavity prevention.

A beautiful smile can give patients a lifetime of happiness!

(416) 762-9706