New Patient Forms

Close up of patient hands filling out patient forms on a tablet device

The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at 503-283-2553 and our staff will be happy to help you.

Health History Form - English
Health History Form - Spanish

Phone

503-283-2553

Email

Office.manager@lombardsmilesdental.com

Office Hours

Monday:
Tuesday:
Wednesday:
Thursday:

8:00am - 5:00pm
8:00am - 5:00pm
8:00am - 5:00pm
8:00am - 5:00pm

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Patient Forms - Lombard Smiles Dental | Portland, OR
Conveniently access and fill out patient forms online for a smoother dental visit in Portland, OR.
Lombard Smiles, 5610 N. Lombard St., Portland, OR 97203 - 503-283-2553 - lombardsmilesdental.com - 3/1/2025 - Key Phrases: dentist Portland OR -