Forms

Forms and instructions for your visit.

Find secure patient intake, referral forms, consent information, and pre- and post-operative instructions in one place.

Patient Intake Form Referral Form

Forms Centre Choose the form or instruction page you need below.

Patient Forms

Patient Intake Form

Complete your secure patient intake before your first visit so our team can prepare your chart.

Open page For Referring Offices

Referral Form

Referring doctors can securely send patient information to our Waterloo oral surgery office.

Open page Before Surgery

Pre-Operative Instructions

Review these instructions carefully before your surgical appointment, especially if sedation or anesthesia is planned.

Open page After Surgery

Post-Operative Instructions

General home-care guidance to support healing, reduce complications, and help you know when to call after oral surgery.

Open page Consent Forms

Anesthesia Consent Form

Review anesthesia consent information before your appointment if sedation or anesthesia is planned.

Open page Imaging Consent

CBCT Consent Form

CBCT imaging may be recommended when advanced three-dimensional information is needed for diagnosis or treatment planning.

Open page

Forms FAQ

Questions About Forms

Which forms should I complete before my appointment?

The form needed depends on whether you are a patient, referring office, or reviewing pre- or post-operative instructions. Call the office if you are unsure.

Can forms be completed online?

Some patient and referral forms are available online through secure form links. Review each form page for the correct next step.

Why should forms be completed before visiting?

Forms help the team prepare medical history, referral details, medications, insurance information, and appointment planning before the visit.

Ready to connect?

Call Our Waterloo Oral Surgery Office.

Call +1 (519)-743-7811

Directions

Online Map & Driving Directions

Visit our Waterloo oral and maxillofacial surgery office at 96 Union Street East. Open our Google Business Profile for directions, office details, and patient reviews before your appointment.

Open Google Maps Read Google Reviews

Find directions, parking context, business profile details, and Google reviews for our Waterloo office.