New Patient Forms

The following forms - Medical History and Patient Consent  - are necessary paperwork that needs to be completed prior to your first visit.  For your convenience, you can download the forms and complete them at your home. At home, you would have a list of your current medications making it easier to complete the medical history form.  If you desire, you can obtain the forms at our office, but plan to arrive with enough time to complete them.

Medical and Dental History Forms


Patient Consent Forms













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Tecumseh Dental Centre
120-11811 Tecumseh Rd East
Tecumseh, ON N8N 4M7

P. 519-735-5555
F. 519-735-5382