Patient Forms2019-02-21T07:07:55-06:00

Patient Forms

Please complete your form one week prior to your scheduled appointment.

1. Register for an account

2. Review the Patient Consent Form

3. Provide your information in the Confidential Information Form

4. Your information will be automatically sent to the team at Lewis Estates Dental Centre

5. We’ll see you at your appointment.

Adult and Child Medical History

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Consent for Release of X-rays

Download Form »