Filling these in before you arrive saves about ten minutes at the front desk, and means Dr. Melbourne has your medical history in front of him before he starts rather than halfway through.
Print and bring them, or ask at reception and we'll give you a clipboard — either is fine.
New patient forms
- Patient registration — your contact details, who to call in an emergency, and how you'd like us to reach you about appointments.
- Medical and dental history — conditions, medications, allergies and past dental work. This matters more than people expect: some medications affect healing, bleeding and anaesthetic.
- Insurance and billing information — your plan details so we can bill the insurer directly instead of you paying up front and claiming it back.
Other forms
- Consent for treatment — signed before any procedure, after we've gone through what's involved.
- Release of dental records — if you're transferring from another dentist, or moving on from us.
What to bring with them
- A piece of photo ID
- Your insurance card, or your Canadian Dental Care Plan member number
- A list of medications, including over-the-counter and supplements
- Any X-rays or records from a previous dentist, if you have them
Not sure what your plan covers?
You don't need to work that out yourself. Send us your plan details through the insurance page and we'll tell you what's covered before you book. If your family income is under $90,000, read about the Canadian Dental Care Plan — we complete that application with you in the office.
Questions about a form
Call 416.736.9800 and the front desk will walk you through it. If a question doesn't apply to you, leave it blank and we'll sort it out at your appointment.