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Midland Dental Center

Patient Forms

Paperwork, made painless

Complete your forms online before you arrive through our secure portal — or do them at the front desk when you get here, with help in the language you're most comfortable with.

New Patient Forms

Our complete intake package for first visits: your details, health history, and consents. Takes about ten minutes, and saves you time in the waiting room.

Start new patient forms

Opens in our secure forms portal. Your answers go directly to our office — not through this website.

Medical History Update

Already a patient? Use this shorter form to refresh your medical history and details before your next appointment, so check-in takes seconds.

Update medical history

Opens in our secure forms portal. Your answers go directly to our office — not through this website.

What to have with you

Whether you fill forms out at the desk or bring notes from home, having these on hand makes check-in quick:

  • A list of current medications
  • Notes on relevant medical history or allergies
  • Your insurance or CDCP details
  • Photo ID

Questions about your forms?

Not sure what applies to you, or transferring records from another office? Call or email us and our front desk will sort it out before you arrive.

Frequently asked questions

Ready to book your visit?

Request an appointment and our front desk will confirm a time that works for you.

Call (416) 369-1000Book Online