first dental treatment

We kindly ask that you arrive 15 minutes early to your first visit. This will allow you sufficient time to complete all insurance and health information forms.

If you prefer, you may print and fill out our New Patient Forms to bring with you to your first appointment. Please make sure to read the NOTICE OF PRIVACY PRACTICE, before printing and completing the forms below.

Your initial exam will last approximately 1 hour. At this visit we will use x-rays as well as a visual exam to diagnose any current dental problems. If you’ve had x-rays taken in the last year, please let a member of our scheduling staff know so we that can request those records from your previous dentist. We will also provide you with a proposed treatment plan showing the recommended treatment as well as the fee’s associated with your treatment. Certain criteria may apply but in most cases, we will also clean your teeth on this first visit.

Patient Forms

Medical & Dental History Form – PDF

Confidential Personal Information Form – PDF

Notice of Privacy Practices – PDF

Permission to Disclose – PDF

Acknowledgement of Receipt of Notice of Privacy Practices – PDF

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First dental treatment in Eugene