Glenora Dental Family Dentistry

Existing Patients

Patient Forms

Keeping your health information current helps us provide safe, informed care at every visit.

Why we ask for updates

Your health can change between visits. New medications, diagnoses, or allergies all affect how we plan and deliver your dental care.

For example, certain medications can affect bleeding or how your body responds to dental materials. Updating your records ahead of time helps your appointment run smoothly and keeps your care appropriate for your current health status.

At each visit we may ask whether anything has changed. Completing the form below before your appointment saves time at the clinic.

Dental medical history update

Use this form if your medications, health conditions, allergies, or contact information have changed since your last appointment. You can also complete it if it has been some time since your records were last reviewed in full.

Complete the form below before your next visit, or let our team know at check-in and we can update your records in the office.

Privacy & confidentiality

All patient information collected at Glenora Dental Family Dentistry is handled in accordance with Alberta's privacy legislation and the federal Personal Information Protection and Electronic Documents Act (PIPEDA). Your patient records are confidential, stored securely, and accessed only by members of your care team. We do not share your personal health information without your consent, except as required by law.

Questions about forms?

If you have questions about updating your records or completing paperwork in advance, please call our reception team, they’re happy to help.

Ready to Book?

Book your next checkup or follow-up appointment online, or call us directly.

Book Appointment 780.452.5700

Contact Us

Our reception team can answer questions about forms, appointments, and your records.

780.452.5700

Ready for your next visit?

Call 780.452.5700 or book an appointment online.

Our Office

Office Hours

Monday
7:00 am – 3:00 pm
Tuesday
7:00 am – 3:00 pm
Wednesday
7:00 am – 3:00 pm
Thursday
7:00 am – 3:00 pm
Friday
7:00 am – 3:00 pm
Saturday
9:00 am – 2:00 pm
Sunday
Closed

Open one Saturday per month. Holidays: Closed.

Our Address

Glenora Dental Family Dentistry

10534 124 St NW #112
Edmonton, Alberta

Fax: 780.454.6955

10534 124 St NW #112, Edmonton, AB

Call Book