Now accepting patients for the month of September Now accepting patients for the month of September Now accepting patients for the month of September Now accepting patients for the month of September
Before Your Visit

Patient Forms

Please complete the forms below before your appointment. It helps me prepare for your visit and makes your time together simple and stress-free.

How it works

Download and complete the forms that apply to you. You can print and have them ready for your visit, or email the completed forms ahead of time. All information is kept private and used only for your care.

Call (905) 941-7580 Email [email protected]
01

Consent Form

Authorizes treatment and confirms you understand the care being provided. Please review and sign before your first appointment.

02

Medical History

A confidential health questionnaire covering medications, allergies, and medical conditions, so your care can be tailored safely to you. Please choose the version that matches the patient’s age group.

Forms are provided as printable PDFs. Prefer to fill them out together? Just let me know and we'll complete them at your appointment.

Questions about the forms?

I'm happy to walk you through anything. Reach out any time and I'll gladly help.

Call (905) 941-7580 Email Me