Patient Resources

Patient Forms & Documents

Download and complete your forms before your visit to save time in the waiting room.

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.

Dental care at Edmonton West Dental

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.

Call us

780-652-1280

Email us

info@edmontonwestdental.com

Bring your form in person

21553 Chief Lapotac Blvd NW, #101, Edmonton, AB

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.