Dental Forms for Patients & Referring Doctors

At Driftwood Dental in Courtenay, we want to make it convenient for our patients to come prepared for their appointment.  


Courtenay Dentist, Sedation Forms

Whether it’s your first visit, or if you’re reactivating your hygiene goals, we’ll ask you to complete or update the Patient Forms linked below.

Patient Forms

Patient Medical History
New Patient Form
Patient Verification of Insurance

For Referring Dentists:

Dental Referral (General Anesthesia, IV Sedation, Endodontic Treatment, Pediatric Dentistry)
Denturist Referral Form

As always, our anesthetist will review your medical history with you prior to your treatment. If you have any questions, please do not hesitate to contact our office.

Visit Driftwood Dental for a friendly & relaxed dental experience!