New Patients

If you are a new patient at Heritage Dental Hygiene, we ask that you download, print, and fill out the following form prior to your appointment.  Upon filling out this document, please be sure to bring it to your initial appointment.

HDH New Client Medical and Dental Form

  • If you wear an intra-oral appliance such as dentures, retainers or a night-guard please bring them to your appointment.
  • If you have dental insurance please bring your dental insurance information to your appointment.
  • Please arrive 20 minutes before your scheduled appointment to allow for a stress reduced appointment.  Arriving late can effect the amount of time your hygienist has to spend with you.

We appreciate at least two business days notice if you need to reschedule or cancel this appointment. 

Please bring a full written list of the medications, supplements and vitamins you are taking with you to your appointment. In your list include the dose you are taking for each medication as well as how often you are taking the medication. With new regulations in place from the College of Dental Hygienists of Ontario  your Dental Hygienist is required to take your blood pressure prior to proceeding with your appointment.

Available at your appointment is a custom oral hygiene take home package that includes, a toothbrush, floss and lip balm!

If you have any questions please contact our team.

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P- 289.868.9374