Online Patient Forms

We welcome new patients at East Portland Dentistry, home of your East Portland dentist of choice! We want to make your first visit to our office as convenient as possible. We’ve included our new patient forms here so that you can fill them out online or download them and fill them out at your convenience prior to your visit.

Full Online Patient Forms

Note: These complete forms include all three Adult forms back-to-back: Registration, Adult Dental History, and Adult Medical History. Please complete all pages.

Single Online Forms