Pacific Dental
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(416) 762-9706
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New Patient Forms

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.

Digital New Patient Forms

The following forms can be filled and submitted online form any device (phone, tablet, laptop or desktop).
At the end use your finger or mouse to sign the forms digitally.

  COVID-19 Pandemic Emergency Dental Risk
  COVID-19 Patient Screening
  Patient Personal Information Consent
  Adult Dental Questionnaire
  Children's Dental Questionnaire
  Patient Information
  Patient Health History
  Dental Services Financial Agreement
  Authorization for Release of Dental Records

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