Phone: (503) 533-2330  |  Fax: (503) 533-2331  |  15160 NW Laidlaw Rd. Suite #202  |  Portland, OR 97229

Patient Forms
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Patient Forms

Name: Hillside Dental at Bethany
Address: 15160 NW Laidlaw Rd. Suite #202, Portland, OR, 97229, US
Telephone: (503) 533-2330
Price range: $

For Your First Visit

We now have updated electronic forms! Call our office and we can send you a link to fill out all your forms. No more tedious paperwork or printing required!

If you still want to use paper, please print, fill in and sign:

Print Out New Patient Forms: Patient Information, Dental History, Medical History, Office Policies, Agreement and Consent, Receipt of Privacy Practices

Updating Your Information

If you are a current patient at our office and need to update your information, please use the following form:

Update Information Form

For Your Reference

Separate forms and other forms for reference:

Records Release: To Hillside Dental at Bethany
Records Release: From Hillside Dental at Bethany
Patient Information, Dental History Form
Patient Medical History Form
Office Policies, Agreement and Consent
Notice of Privacy Practices
Receipt of Notice of Privacy Practices
Informed Consent Form for General Dentistry
Records Release: Authorization