Patient Forms

Please complete the forms below online before your appointment at Highland Kitchener Dentist. New patients should use the new patient form, and returning patients can update their medical history here when something changes. It saves time at the front desk and gives us what we need to plan your care safely. If anything on a form is unclear, give us a call.

New Patient Form

Medical History Update

5 Year Medical History Update

Covid-19 Patient Screening Form

COVID-19 Pandemic Dental Risk