New Patient Forms

We ask that all new patients complete our new patient form. This allows us to review your history so that we can provide you with a personalized treatment plan once you come in. To download the form, please click the button below. Once your form is complete you can email it to us, bring it with you to your appointment, or mail it to:

Milltown Dental
840 Main
St. East, Unit 3
Milton, Ontario
L9T 0J4

Request an Appointment

To request an appointment, click here to complete our online request form. A member of our team will contact you to confirm your date and time.

If you have issues downloading or completing our forms, please call our office for assistance at (905) 878-8528.

Milltown Dental

840 Main Street East, Unit 3,
Milton, Ontario, L9T0J4,

Practice Hours:Monday: 8:00 AM – 4:00 PMTuesday: 8:00 AM – 8:00 PMWednesday: 8:00 AM – 4:00 PMThursday: 8:00 AM – 8:00 PMFriday: 8:00 AM – 4:00 PM

Additional Information: Alternating Saturdays: 8 AM - 3 PM


Please select the DIAMOND and click the SUBMIT button