Oral Health Clinic patient forms
You are accessing Durham Region Health Department, Oral Health Clinic's online medical and oral health history forms.
These forms are only to be completed by patients that have been referred here by Oral Health Division staff.
Contact us
Health Department - Durham Health Connection Line
Oral Health Division
200 John Street West, Unit E8
Oshawa, Ontario L1J 2B4
Telephone (within regional limits): 311
Fax: 905-433-4794
Email the Health Department
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