Referral Form (PDF)

Please download and print this referral form (PDF) and  fill out as much information as possible. This helps us better plan a consultation time for new patients. This form can be used for “new patients” as well as “return patients”.

Tel: 403.247.8656            Fax: 403.247.8657

REFERRAL FORM

Secure-Mail with BrightSquid

Dr. David French’s clinic uses BrightSquid, a secure data encryption system with a focus on privacy compliance. Using this software helps reduce the threat of privacy breach and ensures that our dental office remains PIPA-compliant. Other online communication entities may not be PIPA-compliant. Therefore, BrightSquid is our preferred method for interoffice sharing of patient data. It allows us to safely store and access radiographs, X-Rays, and patient records long after you’ve sent us these files.

Send your Electronic Files to our Clinic

New BrightSquid Users

If you currently don't have an account with BrightSquid, please connect with our office at 403.247.8656. We can help you set up a FREE BrightSquid account that enables you to send us the required patient documents.

Existing BrightSquid Users

If you have an existing account with BrightSquid, please click below to log in to your account. You will then be able to securely send us your electronic files directly through this platform.

BRIGHTSQUID LOGIN

BrightSquid

This short introductory BrightSquid video will show you how easy it is to set up a free account to send us patient files.