Patient Forms

Would you like to save time during your appointment with Dr. Orazio? We encourage you to complete our patient forms before you come in for your visit with our dentist. This will make your appointment quicker and more efficient. Feel free to contact our dental office in Portland, Oregon, today with any questions or to schedule your next appointment.

New Patient Registration

New Patient Registration

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Health History (Adult)

Health History (Adult)

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Health History (Child age 17 & under)

Health History (Child age 17 & under)

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Notice of Privacy Practices

Notice of Privacy Practices

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Release of Records

Release of Records

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