Download Hippa Consent Form

Print and fill out the Hippa Consent Form below and bring it with you to your appointment.

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Online Patient Forms

After you've dowloaded the Hippa Consent Form, please follow the appropriate link below to complete your Patient Intake Form securely online.



OUR OFFICES

PENDLETON

  • 2237 SW Court Avenue
  • Pendleton, OR 97801
  • (541) 276-7819
  • FAX: (541) 278-2563
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HERMISTON

  • 1060 W Elm, Suite 135
  • Hermiston, OR 97838
  • (541) 567-2662
  • American Association of Orthodontists
  • American Dental Association