All Care Dental

Fill it in before you arrive.

Five of them, and what each one is for. Type into any on screen, or print it and write by hand.

Start here

New patient? Take the form that fits.

Same questions either way: who you are, what you are covered for, and the health history the dentist needs before picking up an instrument. Doing it at home means the appointment starts on time.

For a patient 18 or older

New patient form

Your details, your insurance, and your medical and dental history — everything the dentist needs before the first appointment.

Who needs it: Everyone coming to us for the first time, 18 or older.

About 10 minutes · Type into it on your phone, or print it

For a patient under 18

New patient form — child

The same ground as the adult form, but it asks about the child: school, brushing, habits, injuries and how they have managed at past appointments.

Who needs it: A parent or guardian, for anyone under 18. One form per child.

About 10 minutes · Type into it on your phone, or print it

  1. 01

    Fill it in

    Type straight into the PDF, or print it blank and write by hand.

  2. 02

    Sign it

    A parent or guardian signs for anyone under 18.

  3. 03

    Bring it with you

    Hand it in at the desk. Please do not email it: it holds your health history.

No printer? There are blank forms at the desk — come a little early and fill one in here.

What else to bring
The rest

Three more, for when they apply.

Not everybody needs these. Take the one that matches why you are coming in.

  • Medical history update

    For a patient we have seen before

    One page asking what has changed since we last saw you: your health, your medicines, allergies, a hospital stay, a pregnancy.

    Who needs it: Anyone already on file. Bring it whenever your health or your medicines have changed.

    About 2 minutes Type into it on your phone, or print it Open the form
  • Orthodontic intake form

    For braces and clear aligners

    What you want changed, any previous orthodontic work, the jaw joint, habits and the health items that affect tooth movement.

    Who needs it: Anyone coming in about braces or clear aligners. A parent or guardian fills it in for a patient under 18.

    About 8 minutes Type into it on your phone, or print it Open the form
  • Request for dental records

    To get your X-rays and notes sent over

    Your signature authorizing a previous dentist to send your X-rays, notes and charting to this office.

    Who needs it: Anyone who has been treated somewhere else. It saves retaking X-rays you have already had.

    About 3 minutes Type into it on your phone, or print it Open the form

Not sure which one you need? Phone the office on 647.479.3151 and we will tell you — or take nothing and fill one in at the desk.

Book your first visit.

Call Book