Menu
Home About Us New Patient Form Reviews Gallery Contact Us
David Gouett Dentistry

805 Development Dr, Kingston, ON K7M 4W6

Tel: 613-389-8660 | Email: reception@davidgouettdentistry.com

TRANSFER OF RECORDS

Dr. David Gouett

Dr. Lin Chen

Dr. Stephanie Reid

The below name patient (s) has come to our office for continuing dental care. We are requesting any dental health records to be forwarded to our office at reception@davidgouettdentistry.com

clinical_notes

PREVIOUS DENTIST to fill out:

Please forward any of the following information:

1
2
3