Your first visit to Canton Dentists establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.
On this page you can download a new patient form, and with the email address below, can email it to the office before your first visit.
Patient Forms
Please download and complete this form if the patient is age 16 or above:
Adult Registration and Dental History form
Please download and complete this form if the patient is below the age of 16:
Child Registration and Dental History form
When forms are completed, please attach and email to the address below:
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
