patient forms

 

Please complete and submit the following forms that pertain to your upcoming appointment at Centenary Dental.

 

For new patients, please fill out the new patient registration form and if you have current x-rays from another office that you would like to have transferred to us, please fill out the record release form.

 

For existing patients, please fill out the medical history update form and submit before your appointment.

 

 

 

record Release Form New Patient registration form medical History Update Form

Patient COVID Screening Form

contact info

2863 Ellesmere Rd, Suite 205 Scarborough, ON M1E 5E9

P: 416-281-4746

E: info@CentenaryDental.com

 

Hours

Mon - 9AM - 8PM

Tue - 7:40AM - 4:40PM

Wed - 7:40AM - 8PM

Thu - 7AM - 3PM

Fri - 9AM -1PM

Sat - once a month

 

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request an appointment

contact info

2863 Ellesmere Rd, Suite 205 Scarborough, ON M1E 5E9

P: 416-281-4746

E: info@CentenaryDental.com

 

Hours

Mon - 9AM - 8PM

Tue - 7:40AM - 4:40PM

Wed - 7:40AM - 8PM

Thu - 7AM - 3PM

Fri - 9AM -1PM

Sat - once a month