Download forms that are commonly used by our office:

Patient information form - Adults (ages 16 and over)

Patient information form - Children (ages 15 and under - to be filled in by a parent or guardian)

X-Ray release form

Privacy policy

To read these files properly, you need Adobe Reader (available free online here)


Cataraqui Dental Centre
Cataraqui Town Centre • 945 Gardiners Road • Kingston, ON • K7M 7H4
Tel: (613) 384-4224 • Fax: (613) 384-4337

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