New Patient Registration Forms

We recognize that your time is valuable. We will make every attempt to see you at your scheduled appointment time. To save time, download our New Patient Registration form. This may be easily completed using your keyboard and mouse. Print the completed form and fax it to us or bring it with you to your first appointment.

To print our New Patient Registration Form, please click on the link above. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.

Get Adobe Reader

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16775 Yonge Street, Suite 400
Newmarket, Ontario L3Y 8J4
Phone: 905.830.1230
Email: info@simondental.com
Simon Dental Centre is a family and cosmetic practice and we welcome new patients from all over including Newmarket, Aurora, Bradford, Richmond Hill, and the surrounding area. We provide comprehensive dental services such as porcelain veneers, dental implants, cosmetic bonding, porcelain fillings, crowns and bridges, digital x-rays, the removal of wisdom teeth while sleeping, preventive and complex gum treatment and much more.