Complete Our Patient Registration Form

If you're getting ready for an appointment at Northland Village Dental Centre in Calgary, we invite you to get started by printing and completing our patient registration form. You may return the form to our office by postal mail, fax or scanned email attachment, using our eform.

If you have questions or need assistance completing your registration form, we invite you to call us at 403-255-6688.

Patient Registration Form

Download our patient registration form.

Northland Village Dental Centre

2003 - 5111 Northland Dr. NW

Calgary, AB T2L 2J8







Monday - Friday 08:00 AM - 07:00 PM

Saturday 08:30 AM - 05:00 PM

Sunday Closed

Closed on statutory holidays

Emergency appointments are available

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