Patient Forms

New patient forms are provided for you directly on this page. Once you have completed this form, please fax it to us or bring it with you on the day of your first visit. It is important to us that you can save time so you don’t feel rushed on the day of your appointment.

There are two different patient forms, one for children and one for adults. The details you provide in this form are confidential. All the information is relevant in order for us to provide you and your family with personalized service to fit your needs and wants. It is important to complete all the questions including your current address, phone number, date of birth, health, and dental history. There is also a section that asks about dental insurance information. The insurance portion is there so we can direct bill your insurance company if you have coverage. 

The personal information and protection act part at the end requires your signature, acknowledging our policy and procedures so you know what happens with the details you provide to us. Please take your time to read this portion carefully.

When you come to Franklin Dental Centre for the first time, we will take about an hour to consult with you on everything from your health to what services you require. This is a free consultation. During your consultation we will answer any specific concerns you may have regarding your dental treatment. At this time, we will review different financial options before starting any treatment so you can get our dental health services within your budget and timeline.

For your first appointment, please bring any existing x-rays you may have from another dental office, your dental insurance membership card or details, your health care card, and a list of all the medications you are taking. If there is anything else you need, we will let you know.

If you need help you filling out our patient forms or are unsure of what goes where, please ask and we will guide you in the process. The more we get to know you, the better we can take care of your dental needs. It is crucial to your treatment that are aware of any skin colour changes, pregnancy and allergies.

Open evenings and weekends, we can book you in for a dental appointment when most offices will be closed. Our friendly staff will provide you with a personalized dental experience, taking care of your tooth and gum needs. Our certified professionals will accommodate sedation requirements during your procedure to help get rid of those nerves. 

We currently are accepting new patient and same day emergency patients. Contact us today get your smile back!