New Patient Paperwork

Please find below our New Patient Paper Work you will bring to your first appointment. Be sure to bring photo ID and any insurance cards that you would like us to bill. If you have any questions please feel free to call us. 541-741-7800

Personal Information
Medical History
Office Policy
Consent to Treat
HIPAA

Serving the area for over 10 years

541-741-7800

Visit us today to get great, professional dental care. Same day treatment is often available.

541-741-7800

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Thurston Family Dental

5880 Main Street
Springfield, Oregon 97478

Tel: 541-741-7800
Fax: 541-741-7888

info@thurstonfamilydental.com

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New Patient Paperwork

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