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New Patients

The following forms are for new patients to complete prior to their first visit. Please bring the completed form with you to your first appointment and present them to reception. We look forward to meeting you!

We request new dental patients to complete the New Patient Forms to inform us of the history and current state of your dental oral health and medical health.
Lord Dufferin Dental Center in Orangeville offers our patient forms online so they can be downloaded and completed at your convenience. Follow these easy three steps:

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms, print them out and fill in the required information.Bring them with you to your booked appointment.

Our dentist and members of our dental team will welcome you during your initial dental examination, making you feel comfortable and at home. We will inspect the health of your teeth, gums, and your jaw. The new patient exam may include X-rays designed to give our dentists a complete look at the underlying structures of your teeth and jaw. The dentist will inform you of the current state of your oral health and provide treatment options for any areas that may need additional attention.
Your initial appointment may also include a gentle yet thorough cleaning of your teeth and gums, from one of our hygienists, completing the procedure with a tooth polish designed to highlight your healthy smile.

Lord Dufferin Dental Centre Patient Financing Options
We understand that life can be challenging, however we also believe that all patients should have access to maintaining dental oral health care, as it can impact your overall health. We discuss treatment plan options with patients and inform them of the cost of any treatment before it is undertaken. We also offer our patients convenient financing and payment options as your health comes first and foremost. We welcome all new and current patients to talk to us in confidence about payment options to ensure you receive the oral healthcare you deserve.