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.
Online Patient Information Form

If you would prefer printing the form, you may find a copy to download here:
Patient Information Form


Questions? Use our live chat now
Questions? Use our live chat now


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