• New Patients Welcome!
  • 2247 Rymal Rd E Stoney Creek, ON
  • ☏ 905-560-9990
Back Home
  • Our Team
  • About Dr. Filice
  • Procedures
    • General Dentistry
    • Perio Perfect
    • Philips Zoom Whitening
  • Contact
    • Location and Hours
    • New Patients
    • Patient Forms
Back Home
  • New Patients Welcome!
  • Our Team
  • About Dr. Nadia Filice
  • Procedures
    • General Dentistry
    • Perio Perfect
    • Philips Zoom Whitening
  • Contact
    • Location and Hours
    • New Patients
    • Patient Forms

Patient Forms

We want your first visit to be more about getting to know you and less about paperwork. We recommend printing the new patient forms and completing them in advance of your initial appointment

(Click on a form to view/download)

Medical Questionnaire

Personal Information Privacy Act and Payment Agreement

Record Release Form

 
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Emergency visits only due to COVID-19 (coronavirus)

In compliance with recent RCDSO (Royal College of Dental Surgeons of Ontario) guidelines and accordance with safe practice protocols with the COVID-19 pandemic we are suspending normal operations of our office as of March 16, 2020 to allow for emergency visits only. The office will be operating under reduced hours. All non-urgent and elective treatment will not be rescheduled until after April 1, 2020. If you do require urgent dental care, please do not come into the office without first speaking with us at 905-560-9990. We appreciate your cooperation and understanding at this difficult time and hope to resume our services as soon as possible.