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Patient resources

Patient forms

Fill out forms for the whole family online and skip the clipboard.

  • New Patient Registration
  • Medical History
  • Minor Consent
  • HIPAA Acknowledgment
  • Financial Policy

Online forms aren't connected on this demonstration site.

Bring your insurance card and a photo ID to the first visit.

Come on in, the whole family's welcome.

Send a request and we'll call to line up times for everyone. Prefer to talk it through? We're happy to.

Hearthside Family Dental

1420 Riverbend Way, Suite 200
Alder Falls, OR 97000

Mon–Thu
7:30am–5pm
Fri
8am–1pm
1st & 3rd Sat
8am–12pmFamily mornings
Sun
Closed