Call: (541) 317-0255
New Patient Forms

If you are a new patient or referring doctors office, the attached file contains our new patient bundle with forms that will need to be filled out prior to arriving at our office. Printing them, filling them out and bringing them with you will allow us to attend to your oral health needs more quickly and efficiently.  Thank you and please call or email our office if you have any questions at all. 

The staff at Central Oregon Perio

gumdoc@centraloregonperio.com

541.317.0255  541.382.5080

New Patient Forms/Patient Referral Forms