SmileWork Dental Centre, 3420 Finch Avenue East, #206,
Toronto, Ontario M1W 2R6,
Ph: 416-497-2277

Child - Teenager Health Questionnaire Online at SmileWork Dental Centre in Scarborough.
Mobile Web site

If you are a Child or Teenager, this Secure Health Questionnaire Form Online is for you! Please take care of filling it our properly, to the best of your knowledge. Upon completing the form, submit. When the form is submitted successfully, it will disappear and you will see a confirmation line in its place. The questions marked ( * ) are mandatory and the submission will fail, when they are not answered.

At SmileWork Dental Centre, we believe that convenience of filling the Health Form Online out from the comfort of your home is preferable over doing it, the old-fashioned way with a clippboard in our office. If you choose, form can also be filled out and printed on you printer and taken to the office!

First-time patients;
you may fill out and submit
your Health Information Form Online,
prior to your first visit with Dr. Muayl Dental Care!

The questions marked ( * ) are mandatory