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1881 Yonge Street,Suite 712
Toronto M4S 3C4
Ontario
Canada
Tel 416-485-0321
Fax 416-485-0327
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Patient Online Forms

All information submitted on these forms is immediately sent to Anaesthesia In Dentistry, and is not stored on the website itself.

 

Please take the time to download the forms listed below. You can complete the required medical forms online, by clicking on the names of the different forms. Print them, fill them out and bring them into the office during your next visit!

 

New Patient Form   |    Medical Dental History Form   |    Dentistry Consent Form  

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At Dr. Glazer’s state-of-the-art cosmetic dentistry facility, patients can receive a variety of sophisticated treatments. Dr. Glazer has helped numerous Toronto prosthodontics patients achieve their aesthetic dreams by providing them with beautiful, durable porcelain veneers and/or dental implants. He is also a renowned as a talented Toronto teeth whitening and Toronto sedation dentistry specialist. Dr. Glazer offers several highly effective sedation options that allow his patients to enter a state of deep relaxation wile greatly reducing their discomfort.

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