The following medical forms can be completed at home prior to your visit. Right click on the download button and ‘Save Target As’ to your computer to download.
Orthodontic Treatment Agreement
Consent For Orthodontic Records And Understanding Fees
Dr. Tom Houston
Houston Dental Office
3505 Upper Middle Road,
Burlington, ON, L7M 4C6
Phone: 905-332-5000
Email: [email protected]
Major Intersection: Walkers Line and
Upper Middle Rd.
Monday : 12:00 PM - 8:00 PM
Tuesday : 8:00 AM - 4:00 PM
Wednesday : 12:00 PM - 8:00 PM
Thursday : 8:00 AM - 4:00 PM
Friday : 8:00 AM - 3:00 PM
Saturday : 9:00 AM - 3:00 PM
Sunday: Closed
We are accepting the Government of Canada Canadian Dental Insurance Plan (CDCP). The CDCP is a new Canadian Dental Care Plan where individuals that do not have access to an employer provided or private dental insurance plan can apply for. As an important part of dental care and overall health, the Government of Canada recognizes the expenses that can be associated with dental treatment and is committed to helping Canadians receive the dental treatments that are required while also making it more affordable.
The CDCP is offered to help low income families who do not have dental insurance by covering some costs associated with dental services for families with net income that is under $90,000.