Online Patient Forms
Save time at your appointment by completing your paperwork in advance.
Download and print our forms, or fill them out when you arrive—your choice!
New Patient Forms
Complete these forms before your first visit:
Patient Registration Form
Personal information, contact details, and emergency contacts.
Download Patient Registration Form (PDF) →
Medical History Form
Your health history, medications, allergies, and conditions.
Download Medical History Form (PDF) →
Dental History Form
Previous dental care, concerns, and goals for your smile.
Download Dental History Form (PDF) →
Release of Records
Authorize us to request your dental records from a previous dentist.
How to Complete Forms
Option 1: Print and Complete at Home
- Download the forms above
- Print them
- Complete all sections
- Bring completed forms to your appointment
Option 2: Complete at Our Office
Arrive 15 minutes early and we'll provide all forms in person.
Option 3: Complete Online
Coming soon! Online form submission for added convenience.
What You'll Need
To complete your forms, have ready:
Personal Information
- Full legal name and date of birth
- Current address and phone numbers
- Email address
- Emergency contact information
Medical Information
- List of current medications (names and dosages)
- Known allergies
- Medical conditions and history
- Physician's name and contact
Insurance Information
- Insurance company name
- Policy holder information
- Group and ID numbers
- Employer (for group plans)
Dental History
- Previous dentist's name (if applicable)
- Date of last visit
- Any current concerns or symptoms
Requesting Records from Previous Dentist
We can request your records (X-rays, history) from your previous dentist:
- Provide their contact information on your forms
- Sign the records release authorization
- We'll handle the rest
Having your records helps us provide better, more informed care.
HIPAA & Privacy
Your information is protected:
- Secure handling of all forms
- PHIPA compliant privacy practices
- Information used only for your dental care
- Never sold to third parties
Questions About Forms?
Need help with paperwork? Contact your preferred location:
Centrepointe: (613) 224-8600
Holland Cross: (613) 728-1511
McCarthy: (613) 526-9876
Ready to Book?
Forms completed? Schedule your appointment!
Call: (613) 728-1511
Address: 20 – 1620 Scott Street, Ottawa, ON K1Y 4S7
At BluSky we BEElieve in bringing life to your smile. 🐝