Contact Winona Dental

Interested in becoming a patient at Winona Dental? We’d love to hear from you.

How would you prefer to be contacted?
winona dental patient code

For prospective patients looking to join our dental centre, we request that you take a few moments to fill-out our new patient forms so that the dentist has on your important medical and health information on hand.

We’ve made the forms available here so that you can download and fill-out our new patient forms at your convenience when you have all your important information readily available.

New Patient Form Image
Form: New Patient Form
Pages: 2 Pages
Purpose: Required to ensure we have your contact, medical contact and insurance information on record.
Required: Yes
Form: Medical & Dental History
Pages: 3 Pages
Purpose: Required to ensure the dentist is aware of your dental care habits, any medication being taken and if there are any preexisting health conditions.
Required: Yes
Patient Disclosure Consent Form Image
Form: Disclosure Consent Form
Pages: 3 Pages
Purpose: Patient acknowledgement consenting to how we collect and use your health information.
Required: Yes