Patient Forms
Please click on the form you wish to complete; for best results use Google Chrome or Mozilla Firefox browsers.
English Forms
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 Periodontal Charting
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.
Book An Appointment
Let's Start a Conversation
Clinic HOURS:
Monday 7:30-7:30pm
Tuesday 7:30-3:30pm
Wednesday 7:30-3:30pm
Thursday 7:30-7:30pm
Friday 7:30-3:00pm
Clinic Closed: Dec 26/27 & 30
Open Dec 28 & Dec 29 7:30-2:00pm
Back to regular business Jan 2 2023 7:30-7:30pm.
.
Address:
102-1500 Bank street Ottawa, Ontario K1H 7Z2
613-706-4101
Info@blueherondentalgroup.ca
