Open today until 17h00

First Visit Medical Form

Welcome to new patients. We pay special attention to anxious patients.

During your first visit, we must have your medical history. Please fill out the questionnaire at home to have all the information on hand and hand it to us upon your arrival at the clinic. This medical questionnaire is secure and confidential.


  1. Download the form by clicking here (PDF file)
  2. Print the questionnaire
  3. Complete the questionnaire to the best of your knowledge
  4. Bring the completed questionnaire to your first visit, along with your complete list of medications.

If you forget to fill out the questionnaire or if it is incomplete, it does not matter. However, you are kindly requested to arrive in advance at your appointment to have the time to complete it on site.

Contact Info

Centre Dentaire
Boulevard Galeries d’Anjou

7450, Boul. des Galeries d’Anjou
Suite 250
Montreal, QC, H1M 3M3
See the map

Opening Hours

  • Monday 08h00 at 21h00
  • Tuesday 08h00 at 21h00
  • Wednesday 08h00 at 21h00
  • Thursday 08h00 at 21h00
  • Friday 08h00 at 21h00
  • Saturday 09h00 at 17h00
  • Sunday Closed

Dental Plan Financing

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