New Patient Forms

By filling out these forms ahead of time you will save significant time on your visit. If you have any questions when filling out the form, please do the best you can, and our staff will assist you with your questions on the day of your appointment.

Digital Forms

The following forms can be filled and submitted online from any device (phone, tablet, laptop or desktop). At the end use your finger or mouse to sign the forms digitally.

New Patients


Fillable and Savable PDFs

The following forms can be downloaded to your computer, open and fill them with Adobe Reader. Send the filled forms via email to

New Patients

Technical Note:
Our online forms use the Adobe Acrobat Plugin.
Please download the free plug-in from Adobe's website if it is not already installed on your system. It is important that you have the latest version, in order to open, fill and save our forms.

  Get Adobe Reader

Get a FREE Sonicare Electric Toothbrush

For all new patients

When you come in for a Complete Adult New Patient Exam, X-Rays and Teeth Cleaning, you will be gifted a free Sonicare Electric Toothbrush. Call us at 403-239-3028 for more info or to book your appointment.

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