RECALL MEDICAL FORM

15124 Yonge St. Aurora, Ontario Facebook Instagram Youtube Request an Appointment Refer a Patient to Us Leave us a Google Review Get Directions Call us (905) 726 8213 RECALL MEDICAL FORM RECALL MEDICAL FORM Name First Last Date MM slash DD slash YYYY Has your child been seen at a hospital in the last year? […]

PARENT COMMENT AND EMAIL CONSENT FORM

15124 Yonge St. Aurora, Ontario Facebook Instagram Youtube Request an Appointment Refer a Patient to Us Leave us a Google Review Get Directions Call us (905) 726 8213 PARENT COMMENT AND EMAIL CONSENT FORM PARENT COMMENT AND EMAIL CONSENT FORM Parent’s Name: First Last Child’s/children’s Name: First Last E-Mail address #1: E-Mail address #2: Cell […]

Permission To Release Dental Records and X-Rays

15124 Yonge St. Aurora, Ontario Facebook Instagram Youtube Request an Appointment Refer a Patient to Us Leave us a Google Review Get Directions Call us (905) 726 8213 Permission To Release Dental Records and X-Rays Permission To Release Dental Records and X-Rays Thank you, we will get back to you as soon as possible. If […]