CDA works closely with the Canadian Life & Health Insurance Association (CLHIA) to ensure that dentists' submissions of requests for advance confirmation of coverage comply with privacy legislation.
For your convenience, we have provided the CDA Standard Dental Claim Form, Standard Dental Treatment Form and the Standard Dental Referral Form on this Web site in PDF format. You are welcome to download the PDFs of these forms and photocopy them as needed.
- Standard Dental Claim Form - Computer - 77.5 KB
- Standard Dental Claim Form - Manual - 78.3 KB
- Standard Dental Referral Form - 54.7 KB
- Standard Dental Treatment Form - 39.2 KB