Calgary’s Dental Care
New Patients:
Existing Patients:
127-12100 Macleod Trail SE, Calgary AB T2J 7G9, Canada | Directions
17th Avenue Dental Center
New Patients:
Existing Patients:
10 -5315 17 Ave SE, Calgary AB T2A 0W2, Canada | Directions

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

Appointment Request
Appointment Date*
Preferred Time
Your Name*
Contact Number
Your Email*
Your Message*
Indicates Required *