Patient Forms

New Patient Forms

Welcome to Portrait Dental location in Toronto’s Liberty Village. To provide you with the best level of care, please print and complete our new patient forms and bring them with you to your first appointment. If you would rather fill it out in the office, please plan to arrive 15 minutes prior to your appointment.
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Book Your Appointment Today!

Please fill out the form below and once submitted we will get back to you as soon as possible to confirm your appointment.
Preferred Appointment Date & Time
Your Information *
Patient Status *
Appointment Information *
Is there anything in particular that you are concerned about that you want the dentist/hygienist to address? If so, please specify.