Patient Forms

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Dental Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Centerport is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring your dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

Our Happy Customers

"Loved the friendly office vibe, and felt very welcomed on my first visit; fantastic hygienist. Using latest technology and will definitely become an on-going patient of Dr. Wang."

Laura

"I actually look forward to visiting Centerport Dental for my cleanings and check-ups. Ann A. is professional, funny, and disarming but most importantly she's gentle (important!!). Dr. Wang has won my allegiance with his professional demeanor yet friendly and funny chats."

Steve

"Need to give huge props to the folks at Centerport Dental and Dr Wang. Had a filling replacement. Could not have gone better. Great use of technology. Expected my entire jaw to be numbed. They were able to localize to the specific tooth. Technology aside, I think there is an artistic component too...teeth need to fit together and that is where I think Dr Wang excels. The follow up call a couple days later to see how things are going was great too."

Mark
We're here to help you get the perfect smile!
Have Questions? Call Us Now (503) 563-3655  OR   Schedule Your Visit!