New Patient Form (Adult)
Registration information for adult patients visiting London Square Dental for the first time.
Welcome to London Square Dental! We look forward to meeting you. To make your first visit as smooth and efficient as possible, please review the information below about our new patient registration process.
What the Form Includes
Our adult new patient form collects the following information to help us provide the best possible care:
- Personal and contact information
- Emergency contact details
- Complete medical history
- Current medications and allergies
- Dental history and specific concerns
- Insurance and billing information
- Consent for treatment and X-rays
- Communication preferences
What to Bring to Your First Visit
- Alberta Health Care card
- Dental insurance card or employer insurance details
- Government-issued photo ID
- List of current medications and dosages
- Any relevant medical records or referral letters
- Previous dental X-rays if available (can be sent digitally)
How to Complete the Form
You can complete the new patient form in one of the following ways:
- In-office: Arrive 15 minutes early to complete paperwork at our front desk. Our team will guide you through the process.
- By phone: Call us at (403) 291-4945 and we can collect your information over the phone before your visit.
- Online booking: When you book online, you can provide preliminary information through our secure booking system.
Looking for an Affordable Family Dentist in Calgary?
Join 4,800+ happy patients at London Square Dental Centre. Book a no obligation consultation today and receive a free professional whitening kit included with checkup and cleaning. Open 7 days a week with evening appointments available.
0% Financing Available