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Dr. Daisy Chemaly & Associates

Oral and Maxillofacial surgery and pathology

305 South Kingsway Toronto, Ontario M6S 3V5 Phone: 416-766-7616 Fax: 416-766-7617

Patient Forms

It is very important for your dentist to understand as much as possible about your past and current health condition. To obtain this information, your dentist is required to take an initial complete medical history, and to keep it up-to-date by checking with you on a regular basis.

All this information on your medical history questionnaire is kept strictly private, and is protected by doctor-patient confidentiality. It will not be shared with anyone outside your dentist’s office without your permission.

Please click on the link below to complete our registration and medical history form.

Why does the dentist need to know about hospitalizations, medications, allergies and other personal medical problems? Your answer can be found here.