Patient Forms

Welcome To Evergreen Dental

At Evegreen Dental, home of your Corvallis dentist of choice! We want to make your first visit to our office as convenient as possible. We’ve included our new patient forms here so that you can fill them out online or download them and fill them out at your convenience prior to your visit.

Click Here For Complete Online New Patient Forms

Note: These complete forms include all six forms back-to-back: Patient Information, Patient Medical and Dental History, and Financial Policy, HIPAA Consent, Health Information Consent Form, and Dental Record & Radiograph Release Form. Please complete all pages.

Single Online Forms

Patient Information
Patient Medical and Dental History
Financial Policy
Health Information Consent Form
Root Canal Consent Form
HIPAA Consent
Dental Record & Radiograph Release
Oral Surgery Consent Form

PDF /Printable Version of Patient Forms

Printable PDF Version Patient Forms
Root Canal Consent Form
Oral Surgery Consent Form