905.637.0801

5353 Lakeshore Rd, Unit 21

Burlington, ON L7L 1C8

New Patients Are Warmly Welcomed!

Patient Forms

We always strive to find an appointment at the time that works best for you. Please fill out the form below to let us know when you would like to come in, & one of our staff members will contact you as soon as possible to finalize your appointment.

 

Download  Financial Policy Form

 

Download  Consent Form

Online New Patient Registration

 

Online Medical History Form

Online Dental History Form

905.637.0801 |  info@LakesideFamilyDental.ca

5353 Lakeshore Rd, Unit 21, Burlington, ON L7L 1C8

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New Patients Are Warmly Welcomed!