Dear Valued Patients,

We are looking forward to seeing you at your next appointment! Upon your arrival we will take your temperature with a no contact thermometer, review health history and COVID screening forms. We will ask you to rinse your mouth with an antibacterial solution before and after your appointment.

Please print and fill out the forms below prior to your appointment. 


Required for new patients*

What's Required?

Surgical Mask


Masks will be required in the lobby of our office. A staff member will tell you when it is safe to remove it once we take you back.  


If you have been travelling outside the state of Oregon within the last two weeks, we will need to reschedule your appointment. We kindly ask you to quarantine before your next appointment.

Filling Out a Medical Form

Completed Forms

Prior to your appointment, please fill out the forms above and email them back to us. If you do not have a way to scan your forms, you can print them and have them ready when you arrive at your appointment.

No Travel