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905-430-7045

Patient Forms

If you have made an appointment with our office, you must complete the patient intake form the day of your scheduled appointment.

If you are moving from another dental office, kindly complete the x-ray release form to assist us in moving your dental records over.

Patient Intake Form
X-Ray Release Form

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130 Byron St. North
Whitby, ON, L1N 4M9
Phone Line 1
905-430-7045
Phone Line 2
905-430-7284
Email
info@dwdentistry.ca