Below you will find a PDF copy of our New Patient Forms, that you may use to provide us with your necessary personal information, dental and medical history, and insurance information.
Using the PDF form
This PDF may be filled out on your computer, then printed + signed, or it can be printed blank and filled out with a pen.
On a mobile device? You may be able to print the blank form, but we don't recommend trying to fill out the digital form unless you're on a desktop computer.
Delivering your Completed Forms
You may bring your completed forms with you on the day of your first appointment, which will speed up your appointment, or fax them to us ahead of time. Please phone us at 403-261-7661 to get our fax number.
Please do not scan + deliver your completed forms via email. It is not a secure enough platform for your medical information.
Note: you may wish to right click the button above to save the PDF file to your computer.
Adobe Acrobat Reader is required to view the PDF file.
Rest assured that client confidentiality is a priority at our clinic. The information that we collect through these forms will be kept strictly confidential and will be used only to maintain your records at our clinic and to communicate with you as necessary.
The completion of your New Patient Forms creates a solid foundation for our partnership, and helps us best support your health and your smile.