CDCP accepted — billed directly iTero™ digital scanning New patients & emergencies welcome

New patients & emergencies welcome

Call (519) 884-8594 Text 1-833-206-3910

Patient forms.

Four forms, done before your first visit: fill them out online here, download and print them, or have them emailed to you.

Fill them out online — about 10 minutes

All four forms in one flow, sent straight to the practice inbox by email. Nothing is stored on this website.

Start the online forms

Download and print

Bring the completed forms to your visit, or send them back by email to info@auburncentredental.com.

Patient Information

Contact details, emergency contact, physicians, and insurance.

Download PDF

Medical History

Health conditions, medications, allergies, and dental history.

Download PDF

Financial Policy

How payment works at the practice — read and acknowledge.

Download PDF

Privacy Consent

How the office collects, uses, and discloses your personal information.

Download PDF

Get the forms by email

One click and the four blank forms land in your inbox — fill them out on paper and bring them along.

Call or text and we’ll email the forms to you ourselves.

Forms done? Book the visit.