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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. Please download the form here. You may return the form to our office in any of the following ways:

  •  Postal Mail:

Northland Village Dental Centre

2003 - 5111 Northland Dr. NW

AB, T2L 2J8


  •  Fax or scanned email attachment:


  •  In person:


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

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.

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