New Patient Information

Thank you for choosing Tuscany Dental Centre. The Doctors and Team at Tuscany Dental Centre are dedicated to providing you with a pleasant visit and results that you will be pleased with. Our administrative team is ready to help you with questions about scheduling, financial policy, and insurance, to make the process as simple as possible. If you have already made an appointment with us, we are delighted to welcome you to our practice and are excited that you chose us to serve your dental needs. Our goal is to help you feel and look your very best through excellent dental care.
Your new patient appointment with the Doctor will take approximately 1 hour.
To facilitate being seen as soon as possible at the time of your appointment, we would appreciate you completing the new patient forms before your arrival. Please remember to bring these with you at the time of your appointment or email them to us at Please provide us with the name of your previous dental office so we may request your past records. You can call us or email us with this information. If you have to cancel your scheduled appointment please notify us via phone with at least 2 business days notice to avoid a $75 fee. Our doctors and hygienists reserve their time specifically for you. If necessary, we would be glad to reschedule the appointment at a more convenient time. At Tuscany Dental Centre we look forward to meeting you and serving your needs.

Download New Patient Form

New Patient Form

New Patient

1st Insurance Company

2nd Insurance Company

Privacy Information

How we collect, use and disclose your information:
When you do business with us you share personal information so that we may provide you with the treatment, services, and products that best meet your needs. We assure your consent for our office to use this information in an appropriate manner - to evaluate and process insurance claims and to detect and prevent fraud. We do not sell client information. All employees, associated advisors and insurance companies who are granted access to client records understand the need to keep this information protected and confidential. You may withdraw your consent at any time ? by providing us with 30 days notice by contacting our office at (403)239-0010. Please be aware that withdrawing your consent may prevent us from providing you with requested treatment or services. Your appointment lime is reserved especially for you. If you are unable to keep this time we require 48 hours notice to reschedule. I hereby assign my benefits, payable from claims submitted electronically to Dr Cam Brauer / Dr Scott Townsend and authorize payment directly to him. 'This authorization shall continue in effect until the undersigned revokes the same.

Medical History

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Are You

Dental History

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Personal History

Gum and Bone

Tooth Structure

Bite and Jaw Joint

Smile Characteristics