Patient Forms

– Forms for New Dental Patients in Kitchener
– Kitchener Dentist Centre Patient Forms

If you are a new patient to our office or if there are any changes to your health then you can complete the required forms online. Completing them prior to your visit will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please contact our office if you have any questions.

New Patient Form

Medical History Update

5 Year Medical History Update

Covid-19 Patient Screening Form

Covid-19 Pandemic Dental Risk

About Us

Looking for a Dentist in Kitchener? At Kitchener Dentist Centre, we have been committed since 1997 to continuously improving in all treatment areas and working together to provide a shared vision of excellence in dental services. Click here to learn more about our Kitchener dental office.

Dental Procedures

We pride ourselves on offering a wide range of dental services — whether your dental needs entail cosmetic treatment, wisdom teeth removal or a full mouth restorative, our Kitchener Dentists will treat you with the care you deserve. Click here to learn about our dental services.

Contact Us

If you have any questions or concerns, Kitchener Dentist Centre is here to help. Our team is committed to making you as comfortable and informed about your teeth as possible. If you would like to book an appointment, don’t hesitate! Click here to contact us today.