Forms

Endodontic Treatment Information & Form

Endodontic Specialty Group is committed to making your root canal treatment as smooth and as uncomplicated a process as possible. For almost 40 years, patients throughout Ontario have been referred to our Etobicoke and Toronto clinics to have their endodontic problems diagnosed treated and managed. We encourage you to complete our online forms in the link below or to download, review and complete the forms below before your visit to our clinics.

Prior to your appointment we ask that you fill out the medical form on the following link along with our office privacy policy and consent form.

Online Form

No more than one day prior to your visit we also ask that you fill out our COVID-19 Screening Form

Online Form

Online Patient Referral Form

Online Form

You can also download, review and complete the forms below before your visit to our clinics.

Medical History Form
Patient Consent - Collection, Use And Disclosure
Root Canal Treatment Consent
Office Privacy Policy
Patient Referral Form - Bloor Office
Patient Referral Form - Danforth Office