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Doctor Referral

Please find the patient referral form available for download below. If you have any questions, feel free to call us at (403) 289-9922.

We Appreciate Your Referrals

We will contact the patient at our earliest opportunity upon receiving the referral form.

Tel: (403)-289-9922

Fax: (430)220-0670​

Email: info@bdcdental.ca​

Patient Referral

Come work with us

Position
Start Date
Month
Day
Year

Health declaration

Please fill out the following form.

Date of birth
Month
Day
Year
Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes

© 2026 by BDC Dental

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Monday
Tuesday 
Wednesday 
Thursday
Friday
Saturday
Sunday

403-289-9922

info@bdcdental.ca

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Our Location

BDC Dental

3919 Brentwood Rd NW

Calgary, AB T2L 1L1

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Hours of Operation

8:00am - 8:00pm
8:00am - 5:00pm
8:00am - 8:00pm
8:00am - 8:00pm
8:00am - 5:00pm
8:00am - 5:00pm
8:00am - 3:30pm

 

*Closed on statutory holidays

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