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 e-form.

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


Patient Registration Form

Download our patient registration form.

Request an Appointment

Request an Appointment

Dental issues can get worse over time if neglected.

Contact Us

Contact Us

If you have any queries, please don’t hesitate to reach out to us.


Northland Village Dental Centre
2003 - 5111 Northland Dr. NW
Calgary, AB

T2L 2J8

Phone: 403-255-6688

Fax: 403-202-8686


Request An Appointment


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

Saturday 08:30 AM - 05:00 PM

Sunday Closed

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