ADA Accessibility Information

A

A

A

ADA Accessibility Information

A

A

A

ADA Accessibility Information

A

A

A

(503) 284-5678

Patient Forms

General Care Instructions

•	What to do if my child bumps a baby tooth?

Post-Operative Instructions

•	Amalgam Fillings
•	Composite Fillings
•	Tooth Extraction
•	Stainless-Steel Crowns
•	Space Maintainers
•	General Anesthesia - Hospital
•	Oral Conscious Sedation

Office Visits

•	Printable Medical History & Dental History Form (2 pgs)
•	Release of Records Request Form
•	Privacy Acknowledgement Form
•	Authorization Form

Calendars

•	Thumb-Sucking
•	Binky
•	Flossing
•	Brusshing

Review Us Online:

(503) 284-5678

2811 NE Wasco St.
Portland, Oregon 97232

Office Hours:

Monday - Friday
8:00am -5:00pm

Saturday Appointments:
Call for details

Copyright © 2015-2018 Pediatric Dentistry, LLC. All rights reserved. Sitemap | Links

Go to Mobile website