2401 Cliffe Ave #10, Courtenay, BC V9N 2L5 CA

Dental Forms for Patients

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

Courtenay Dentist, Sedation Forms

Download Patient 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.

General Patient Forms

Patient Medical History
Patient Dental History
New Patient Form
Patient Verification of Insurance
Covid-19 Risk Assessment Form

Surgery & Sedation Forms

Pre-Op IV Sedation Form
Post-Op IV, Deep and GA Sedation Instructions


Pre-Op Sedation Instructions

As always, our dentist or anesthesiologist will review your medical history with you prior to your treatment using Sedation. If you have any questions, please do not hesitate to contact our office. Request Appointment

Visit Driftwood Dental for a friendly & relaxed dental experience!

(250) 338-5381