This form is to be completed by both current and new adult (18 years +) patients of our practice. It will allow us to update your contact information, medical history, and understand any dental concerns you may have.
It can be completed online and printed for you to bring to your appointment. You can also complete it online and then email it to us at drhennessy@ns.aliantzinc.ca.
This form will be updated annually.
It can be completed online and printed for you to bring to your appointment. You can also complete it online and then email it to us at drhennessy@ns.aliantzinc.ca.
This form will be updated annually.
This form is to be completed by the parent/guardian of dependent children. It allows us to have important information about your child's previous dental experiences, as well as information about their medical history.
If you are living independently (regardless of age) please complete the adult form above.
It can be completed online and printed for you to bring to your child's first appointment. You can also complete it online and then email it to us at drhennessy@ns.aliantzinc.ca.
If you are living independently (regardless of age) please complete the adult form above.
It can be completed online and printed for you to bring to your child's first appointment. You can also complete it online and then email it to us at drhennessy@ns.aliantzinc.ca.