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(503) 477-7130
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Dr. David and Dr. Patty are excited to be open and treating patients. We are taking all the recommended precautions to keep our patients and ourselves safe. For a better idea of what to expect when you come in, please click here to watch our brief video or click here to review a flyer about the changes we've made. We look forward to seeing you soon!

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!

Click here to download New Patient Forms.
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Portland Children's Dentistry in Portland, OR
2323 NW Westover Rd
Portland, OR 97210
5216 SE Woodstock Blvd, Portland, OR 97206

Call Us (503) 477-7130
Office Hours
Sat & Sun:
8am - 5pm
8am - 5pm
8am - 5pm
8am - 5pm
Check availability

Copyright © 2014-2021 Portland Children's Dentistry. All rights reserved.  Sitemap | Links
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 Road, Portland, OR 97210 | (503) 477-7130 | | 7/6/2021 | Related Phrases: pediatric dentist Portland OR | pediatric dentist Portland OR |