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

Surgery & Sedation Forms*

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


Pre-Op Sedation Instructions

*IMPORTANT: Any form submitted by email must be encrypted, to ensure it is secure. By submitting an unencrypted email form, you are consenting to an unsecured email. Alternatively, please print off the form, complete it, and bring it to our office.

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