Click on the image below to download our form in PDF format. Once downloaded, please print the form and enter all important information required. Please bring the signed form on your next visit.
Click on this image to download the PDF file.
IMPORTANT ANNOUNCEMENT! – Covid-19 Update
We are back in yellow phase, this means our dental office remains open and will operate as usual! We are taking all precautionary measures to ensure a safe environment for patients and staff members based on the recommendations from the New Brunswick Dental Society.
Please review the following documents before entering our facility:
We appreciate your patience and comprehension during these times. Your health and safety is our priority. We want to assure you that we are taking every measure to offer a safe environment to patients. You will be contacted prior to your appointment with instructions for your arrival and to complete pre-screening questions. Please do not hesitate to contact us with any questions you may have.