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