Pickering Dental

Keeping Pickering's smile healthy since 1983

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New Patients

To expedite your registration in our office please print out and complete the Personal & Health Information Form.  A completed form is required for each family member.

If you wish us to bill your insurance directly, you will be required to pay the remaining balance on the day of the appointment.  In order for us to bill your insurance directly and to advise you of your coverage we will need to know your dental group number, and your certificate.

Please bring the following documents with you to your first appointment:

  • Your Benefits Booklet from your employer or union, which includes your dental benefits.
  • Your wallet Identification Card for dentistry (this is usually different from your drug
    identification card).

Printable Form Downloads

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New Patients Welcome!
Personal & Health Information Form
Click here to download Personal & Health Information Form

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Reminder: Dental Identification Card, Benefits Book

 

Location Map

     
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Pickering Town Centre Dental Office

Office Hours - Monday to Saturday: Open Mall Hours
e-mail: info@pickeringdental.ca | Tel: (905) 837-2322 | Fax: (905) 837-0468
Kingston Road at Liverpool
(Upper Level, South Zellers Corridor)
©2012 Raj Sivendra Dentistry Professional Corporation. All rights reserved.