Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

If you are a current patient of ours and you wish to be put to sleep for your dental treatments, please choose the IV sedation forms.  Thank you.

Patient Forms 

New Patient Click here:  NPE.pdf 

IV Sedation forms Click here:  IV_Sed.pdf

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Office Location

  • Victoria
  • 186 - 3147 Douglas Street
  • Victoria, BC
  • V8Z 6E3
  • Map & Directions
  • Call: (250) 384-1154