(905) 633-8328 info@endoburlington.ca

Burlington Endodontics
Burlington Endodontics
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    • Home
    • Our Team
    • Contact Us
    • For Patients
    • Referring Doctors
  • Home
  • Our Team
  • Contact Us
  • For Patients
  • Referring Doctors

Your Consultation Appointment

Welcome to our practice!

When you arrive for your consultation appointment our Front Desk Administrators will check to make sure that we have your correct personal and insurance information in our system. 


A Dental Assistant will then seat you in our consultation room and ensure that we have all the information necessary to begin to make our diagnosis. During the consultation the Endodontist will discuss your background medical information with you and review the referral information sent by your referring dentist. They will ask you to describe your symptoms in your own words, possibly take a radiograph or CBCT image, and perform some diagnostic tests. We do not charge for radiographs, but there is a fee for CBCT images and radiology reports. Typically consultations take 30 minutes, but it might take us slightly more or less time to make our diagnosis. 


Our fee for a consultation is $145. We are a fee for service clinic; you will be required to settle your account before you leave our practice. Whenever possible we will submit to your dental insurance provider on your behalf, and they will reimburse you directly. 


Payment Options

Our goal is always to save your natural teeth, and we realize that current inflation levels are making it necessary for many of us to readjust our finances. To make it easier for you to budget for your endodontic treatment, we are offering customized payment options for those without insurance. If you wish to take advantage of these options, please let the Front Desk Admin Team know and they will be happy to accommodate you.

Please Complete the Following

Personal InformationPrimary Insurance InformationSecondary Insurance InformationMedical History

Personal Information

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Primary Insurance Information

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Secondary Insurance Information

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Medical History Form

Please download and complete our Medical History form. 

Fillable Medical History Form (pdf)

Download

 After you download the Medical History Form PDF, open it using Adobe Acrobat Reader. Then choose from the following options:


  1. Print it out and fill in the form at home with a pen. Bring the completed form to your first appointment.  
  2. In Acrobat Reader fill in the highlighted fields on your computer or mobile device. Then print the completed form and bring it with you to your first appointment;  
  3. or email it to us at: info@endoburlington.ca 


​(Adobe Acrobat Reader is free to download here.) 


We look forward to meeting you!

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