Patient Forms
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English Forms
Provision Of Dental Treatment Under Sedation
Discussion and Refusal of Periodontal Charting
Informed Consent for Endodontic Treatment
Sample Parenteral Conscious Sedation Record
Sample Drug Register for Narcotics, Controlled Substances
Specific and emergency examination / sedation pre-assessment
Periodontal (gum and bone) surgery / Clinical crown lengthening (CCL)
Dental Extraction Informed Consent
Periodontal (gum and bone) surgery / Clinical crown lengthening (CCL)
Discussion and Refusal of Treatment
Discussion and Refusal of Dental Radiographs
Discussion and Refusal of Complete Oral Examination (COE)
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.
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Clinic Hours
Mon: 7:30am - 3:30pm
Tue: 7:30am - 3:30pm
Wed: 7:30am - 3:30pm
Thu: 7:30am - 7:30pm
Fri: 7:30am - 3:00pm
Sat: Closed
Sun: Closed
