Whitby Orthodontic Office
3100 Brock Street N. Unit 4
Whitby Ontario, L1R 3J7
905-665-4747

Ajax Orthodontic Office
300 Rossland Road E. Unit 305
Ajax, Ontario L1Z 0M1
905-426-7444

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patient forms

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • Patient Form (Child & Adult) PDF | DOC

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