New Patient Forms

A patient completing forms from Select Care Dental The following form is provided to our patients online for your convenience. Please complete the form prior to your appointment.

If you have questions about any of the paperwork, please give us a call at (541) 316-5499 and our staff will be happy to help you.

If you would prefer printing the form, you may find a copy to download here:
Patient Information Form
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7am to 7pm
7am to 5pm
7am to 1pm
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Select Care Dental, 774 Southwest Rimrock Way Redmond, Oregon, 97756, (541) 316-5499,, 11/23/2021, Key Phrases: dentist Redmond OR, dentist Redmond OR,