New Patient Form

New Patient Form

New Dental Patient Form – Boeriu Implant Dentistry – Kitchener

At Boeriu Implant Dentistry your Kitchener dentist and dental office we provide comprehensive dental treatment to patients starting from age 1 or within 6 months of eruption of the first tooth as recommended by the CDA.

New Dental Patient Form - Boerieu Implant Dentistry - Your Kitchener Dentist and Dental Office

If you are a new dental patient to our office, please complete and submit the following form.  Doing so will allow us to attend to your medical needs more quickly than completing them on your arrival.

Boeriu Implant Dentistry gladly accepts new patients. If you would like to receive more information about our dental services, payment options or anything else, please do not hesitate to contact us. We would be happy to answer all of your questions.