New Patients

Forms for new patients

Would you like to save time at your initial visit to Calgary Dental Centers? Print the following forms, fill them out at your leisure, and be sure to bring them along to your appointment. If you prefer, you may fax completed forms to us at (403) 278- 1788 for Calgary's Dental Care and (403) 272- 0377 for 17th Avenue Dental Center (To ensure the security of your private information, we do not recommend that documents be scanned and sent by email.)

New Patient Forms request personal data, insurance information, and details of your medical and dental history. This information is necessary for our team to provide efficient service, and safe, effective dental care. Please be assured that we treat patient privacy as the strictest priority. The information we gather from these forms is kept confidential and safeguarded. We use it only to keep your dental records current and to communicate with you.

New Patient Form

Calgary’s Dental Care - Dr. Hanif Asaria

Dr. Hanif Asaria is a dentist who serves the area of Calgary, who is devoted to helping people get the smile of their dreams. He graduated in 1989 with a DDS at the Canadian University of Alberta. He is a member of the Alberta Dental Association and the Academy of General Dentistry. He has over 28 years of experience in the areas of general, restorative, and cosmetic dentistry.