Patient Forms

Welcome to Portland Children's Dentistry! To help your visit go smoothly, we have included a link to our patient portal where you are able to fill out important information online prior to your appointment.

If you are a new patient please contact our office to receive an invitation to set up your patient portal password. Current patients may click on the patient portal link and enter your login information.

Please click here to enter the patient portal.

These forms include:

•	General Information
•	Medical History
•	Dental History
•	Financial Policies
•	Consent for Initial Exam
•	HIPAA and Privacy Policy

If you have any questions please feel free to call or email us at any time. We will also review and have you sign our HIPAA privacy policy at the office.

We look forward to seeing you!

More Dental Services

Nerve Treatment for Baby Teeth

Pediatric Oral Surgery

Pediatric Sedation Dentistry

Pediatric Tooth Extraction

Pulpotomy

Infant Dental Care

Brushing and Flossing Tips

2323 NW Westover Rd
Portland, OR 97210

5536 SE Woodstock Blvd, Portland, OR 97206

Call Us (503) 893-2889

Office Hours

Monday
Tuesday:
Wednedsay:
Thursday:
Friday:
Sat & Sun:

8am - 5pm
8am - 5pm
8am - 5pm
8am - 5pm
8am - 5pm
Closed

Patient Portal

Patient Forms | Portland OR | Portland Children's Dentistry
To help your visit go smoothly, we have included documents to gather important information prior to your child's appointment. Please call with any questions!
Portland Children's Dentistry, 2323 NW Westover Rd, Portland, OR 97210 • (503) 893-2889 • portlandchildrensdentistry.com • 9/23/2024 • Key Phrases: pediatric dentist Portland OR •