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Word of Mouth Dental Hygiene

Word of Mouth Dental Hygiene

Helping you achieve optimal oral health!

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Patient History Form

Word of Mouth Dental Hygiene - Patient History Form

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  • Personal Information

  • Medical History

  • Dental History

  • Word of Mouth is a great service providing screening for cavities, gum disease and other oral conditions. Treatments include thorough/gentle cleaning, whitening, desensitizing, fluoride treatments, and fabrication of sports mouthguards. We encourage you to also maintain regular visits with a licensed dentist at least once a year to assess and treat conditions beyond our scope of practice. If you do not have a regular dentist, we are happy to provide a referral to someone great!

  • PHIA (Personal Health Information Act) permits healthcare providers to collect and use your personal health information in order to make informed and sound decisions in providing your healthcare, sharing information with other providers involved in your care, collecting payment for your care including through private insurers if you wish, participating in planning and research, and reporting to governing bodies as required by law.

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Word of Mouth Dental Hygiene

Address

88 Centre Street
Unit 3
Oshawa, Ontario, L1G 4B6

Contact Us

Telephone: (905) 244-5265
Fax: (905) 244-5295
Email: wendy@wordofmouthdh.com

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