Patient Registration Form

Welcome to Slater Family Dental! We've moved our new patient registration online. We have 4 forms that we need you to fill out: Patient Registration, Medical History, Authorization to Release Dental Information and Receipt of Privacy Practices and Financial Policy. Each form has multiple sections as well.

Patient Registration

1 Contact Information
2 Financial Information
3 Dental Release Information
4 Signature: Your rights and permissions



3895 SW 185th Ave Ste 130
Aloha, Oregon 97078

Phone: 503-649-5900
Fax: 503-649-9047

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