Thank you for your interest in becoming one of our patients! We’re looking forward to helping you on the journey to better overall oral health and a smile that you can be proud to share.

 

Please complete the forms below to get us started. When you’re done, email them back to us at reception@humberlanddental.com or print and bring a physical copy to us at 13495 Bathurst Street, Unit 8 in Richmond Hill, in the Humberland Plaza.

Remember to save each document on to your desktop computer before emailing.

Please note that these forms are not compatible on mobile devices.

 

If you have any questions regarding the forms, please let us know. You can call our office at 905-773-3771 or email us at reception@humberlanddental.com

 

Thank you,