Forms | Pacific Dental Hygiene Clinic

New and current patients of Pacific University Dental Hygiene Clinic can find all their required documents and forms online. Please review and complete the following documents before your first appointment.

Pacientes nuevos y actuales de Pacific University Dental Hygiene Clinic pueden encontrar todos los documentos necesarios y formularios en línea. Por favor revise y llene los siguientes documents antes de su primer cita.

Patient Documents & Forms | Documentos y formularios para pacientes

Patient Consent and Information | Informacion y consentimiento del paciente
Financial Policy | Politica financiera
Medical and Dental History/Historial Medico y Dental 
Notice of Privacy Practice Handout | Aviso de Practicas de Privacidad
Acknowledgement of receipt of Notice of Privacy Practice | Reconocimiento de recibo de Practicas de Privacidad

     

Contact Us

Dental Hygiene Clinic
503-352-7373 | Fax: 503-352-7260

Patient Information

The clinic is open throughout the year, including summers. Day and evening hours vary each semester. Please call 503-352-7373 for exact times or to schedule an appointment.

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Dental Hygiene Clinic Services

Dental hygiene students perform all services under the supervision of licensed dental health professionals. Our services are limited to preventive and limited basic restorative services. We do not offer crowns, extractions, etc., nor do we treat dental emergencies.

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