Patient Forms & Documents
Download and complete your forms before your visit to save time in the waiting room.
Why Edmonton West Dental
- Accepting new patients
- 4.9★ Google Reviews
- Direct Insurance Billing
- NIHB Accepted
- Same-Day Emergencies
NW Edmonton · Est. 2019
Before you arrive
Download your forms in advance
Completing paperwork at home takes the pressure off your appointment and gives your dentist more time for what actually matters. Print, fill out, and bring the relevant forms below. If you are unsure which forms apply to you, call our team and we will point you in the right direction.

New Patient Registration Form
Complete before your first visit. Covers personal information, emergency contacts, and basic dental history.
Medical & Dental History Form
Helps us provide safe, personalized care. Includes current medications, allergies, and relevant health conditions.
Consent to Treatment Form
Standard informed consent required before dental procedures begin. Reviews your rights and treatment options.
NIHB Verification Form
For First Nations and Inuit patients using Non-Insured Health Benefits. We submit your NIHB claims directly.
Insurance Assignment Form
Authorizes Edmonton West Dental to bill your insurance provider directly, so you only pay your share at checkout.
Privacy Policy Acknowledgement
Required for all new patients. Confirms how we collect, use, and protect your personal health information.
Note: These forms are provided for your convenience. Your official forms will be given to you at your appointment. Please call us if you need assistance or have any questions about which forms to complete.
We are here to help
Need help with your forms?
Not sure which form you need, or having trouble printing? Three easy ways to get support before your visit.
Ready when you are
Forms ready? Let’s get you booked.
New and returning patients welcome. Direct insurance billing. A full hour for your first visit.
