Dr. Stephen Lipinski
home about us services financial arrangements gallery of cases online appointment contact us
Patients Forms

Thank you for choosing our practice for your dental needs. We appreciate your time and want to make your first visit as efficient as we can. Please download the forms below, complete them and bring them to your first appointment to save time. Also bring your insurance card and driver's license.

If you have any questions or concerns, do not hesitate to ask for assistance at
905.828.9894
We are always happy to hear from you.


New Patient Forms
dental
Patient Information 64 KB
Dental Form 68 KB
Medical Form 76 KB
Financial Policy 80 KB

Dr. Stephen Lipinski

2000 Credit Valley Rd. Suite 112
Mississauga, Ontario, L5M 4N4
Phone: 905.828.9894
Driving Directions Online Appointment Request Patient Education


Copyright © 2009 DrLipinski.com. All right reserved. | Privacy Policy