New Patient Forms

Forms for Dr. Paulo Viana & His Associates’ New Patients

Please feel free to download and fill out the forms on this page before your visit Dr. Paulo Viana and his associates. We have collected the forms here for your convenience. Should you have any questions about filling them out, please do not hesitate to contact us. You can locate Viana Family Dental Centre in Komoka and Dr. Paulo Viana and Associates in London’s White Oaks Mall Dental Clinic.

New patients are required to bring the following filled out forms to their appointment:
Viana Dental
Request an Appointment - London
Need to book your appointment? Just fill out the form with your name and contact information. Indicate your best date and time for the appointment, and the reason for your appointment. We will respond to your appointment request as soon as possible.
Medical History Form | Consent Form | Insurance Form | Cancelation Policy
Viana Dental
Request an Appointment - Komoka
Need to book your appointment? Just fill out the form with your name and contact information. Indicate your best date and time for the appointment, and the reason for your appointment. We will respond to your appointment request as soon as possible.
Medical History Form | Consent Form | Insurance Form | Cancelation Policy