We’d be pleased to have the opportunity to evaluate and fulfill your dental requirements and those of your entire family.
New Patient Forms
Brush Dental Church
612 Church Street
Please print out and complete the forms below and bring them with you to your first appointment.Medical History FormPrivacy & Consent Form
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If you’re visiting our office for the first time, we’d be happy to complete a new patient examination to determine an appropriate treatment plan for you. This usually entails an appointment (up to an hour) consisting of a complete gum examination, cancer screening, necessary x-rays, diagnosis and treatment planning.
At Brush Dental Clinics, we are passionate about creating the smile you’ve always dreamed of. To book your complimentary consultation, please contact us at the most convenient location for you by viewing our locations!
Don’t forget to ask about our Complimentary Teeth Whitening!