For Patients
Access patient forms, review our policies, and find everything you need to prepare for your visit.
Patient Forms
Review and prepare your patient forms before your appointment to save time during your visit. You may also complete forms at our office.
New Patient Form (Adult)
For patients 18 and older visiting London Square Dental for the first time.
New Patient Form (Child)
For patients under 18 visiting us for the first time.
Patient Medical & Dental Health History
Detailed health information to help us provide the safest, most personalized care.
Personal Information & Consent Form
Privacy consent and authorization for treatment and record keeping.
Authorization, Release & Payment Options
Insurance assignment, payment authorization, and financial arrangements.
Services & Financial Policy
Our policies regarding payment, insurance, cancellations, and financial arrangements.
Additional Resources
Helpful links and information for current and new patients.
COVID-19 Patient Information
Safety protocols and guidelines for your visit during the pandemic.
Book an Appointment
Schedule your next visit online, 24/7.
Contact Us
Get in touch with our team by phone, email, or visit us in person.
Need Help?
If you have questions about any of our patient forms or policies, our friendly front desk team is happy to help. You can call us at (403) 291-4945 or visit us at 3545 32 Ave NE, Unit 230, Calgary.
We are open 7 days a week, including evenings, so you can reach us at a time that works for you.
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