Patient Forms

Please fill out the form below. All patient information is confidential.

Our team provides full range of oral health care services including emergency dentistry in South Calgary. If you have further questions about dental treatments, you can call us at or send us an email at .

You’re always welcome to visit with your kids. Please let us know if you wish to book multiple appointments.

Chinook Village Dental services in 5 languages including Tagalog and Thai. Please let us know if you feel more comfortable communicating in any of these languages. We’d like you to feel confident about working with us for your family’s dental care needs.

Download Our New Patient Form