Dr. Priya D. Kothari, DMD, FAGD,
Diplomate ABPD, FRCD (C)
222 Wellington St. E, Suite 200, Aurora, ON   L4G 1J5 [click here for map]
Tel: (905)503-5300, Fax: (905)503-5302
Email: kidsworlddentistry@gmail.com

To help us make your experience as smooth as possible, please bring the following signed and completed documents to the First Visit:

1) Patient Information / Medical History Form

2) Consent & Financial Policy

3) Authorization for Release of Dental Records and X-rays

4) Consent For Conscious Sedation

5) Nitrous Oxide Informed Consent

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