FORMS

NEW PATIENT FORMS

Built on dental principles that make your health our top priority.

FORMS

Welcome New Patients!

We are excited to have you come to Maxwell Dental! If you can please fill out these 3 forms prior to your appointment, it will help speed up your visit:

#1

Statement of Informed Consent

View Form

#2

Personal Information Consent

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#3

Medical History & Personal Information

View Form

#4

Children’s Health Questionnaire

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#5

x-ray consent form

View Form

"I can smile with complete confidence! I can’t imagine now ever being concerned about appearing in photos. It’s just been a new lease on life. Thank you."

~ Laura Hughes | Patient ~

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Calgary NW Office

Copyright © 2019 Maxwell Dental
Disclaimer: Most Dentists are not of the view that mercury amalgams are harmful to your health. Services provided by General Dentist.
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