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Patient Forms


Oregon Mobile Dentistry is dedicated to making things as convenient as possible for our patients. If you'd like, please take a few minutes and fill out your new patient forms.

*If your computer doesn't already have Adobe Reader installed, you will first need to install the Adobe Reader in order to view and download the PDF file. You can then print these forms on your desktop printer.

Find additional patient information below

"Due to my unusual circumstances, I was unable to visit a dentist’s office and spent years trying to find someone to help me. I had given up hope altogether when a sudden dental emergency led me to Oregon Mobile Dentistry — and every idea I had of dentistry changed. Not only do they perform the most intricate procedures with speed and precision, they tend to the concerns of their patients with genuine care, answering questions and going out of their way to put you at ease." ~Holly

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