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    • Home
    • Patient Forms
    • About Us
    • Gallery
    • Dental Emergencies
    • Kid's Dentistry
    • Implants and Extractions

Book Now (289) 597-9590

  • Home
  • Patient Forms
  • About Us
  • Gallery
  • Dental Emergencies
  • Kid's Dentistry
  • Implants and Extractions

Welcome to our Patient Information Portal

Patient Information Forms

Please complete the forms after scheduling your appointment.  Our top priority remains our patients' and their families' health and safety. The forms you are about to fill out will help us get to know you better. Our dental office will protect and keep all information below private. We will use and disclose information responsibly according to the Privacy Act standards.


  • Patient Information Form


Thank you for your cooperation.

Smile up Dental

1136 Centre St Unit 202 Thornhill, ON L4J 3M8

289.597.9590 | info@smileupdental.ca

Copyright © 2023 smile up dental  - All Rights Reserved.

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