Covid-19 Screening Form

Please complete the form below; for best results use Google Chrome or Mozilla Firefox browsers.

Please read the patient acknowledgement below, and initial or sign in all areas indicated.

Pre-Screen

Day Of Appointment

Patient Acknowledgement

Any "Yes" responses must be discussed with the managing dentist prior to your appointment.

New To The Clinic ?

Blue Heron Dental Group is built on a strong reputation of over 30 years of service to the Ottawa community and the families who live here. Other dentists in the community refer pediatric patients to our clinic due to our experience and reputation when treating children.

Book An Appointment

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Let's Start a Conversation

Clinic HOURS:
Monday 7:30-4:00pm
Tuesday 7:30-4:00pm
Wednesday 7:30-4:00pm
Thursday 7:30-8:00pm
Friday 7:30-3:30pm

Address:
102-1500 Bank street Ottawa, Ontario K1H 7Z2
613-706-4101
Info@blueherondentalgroup.ca