At Whitehorse Dental, we aim to provide you with the best possible care.

To help us achieve this please complete and sign these Patient Registration & Medical History Forms.

PRIVACY POLICY: We request the information set out below to provide you with effective and efficient dental services. You are entitled to access your information at any time and we will keep your information confidential. However, if necessary, we may forward your information to other health practitioners or debt collection agencies. We may also be required by law to provide your information to outside agencies. So please answer all questions. Also by signing this form you agree to give no later than 48 hours notice to cancel an appointment as fees can apply & to arrive to appointment at the scheduled time, as appointment may be forfeit due to late arrival.