New Patient Form
TruDenistry of Tigard will make every attempt to help you and your family in receiving the maximum benefits available under your particular insurance plan
TruDentistry of Tigard is fully compliant with HIPAA regulations. We take your privacy extremely seriously. Your contact information and all other information are never sold, leased, or viewed by anyone other than our authorized personnel.
This form is fully protected with SSL encrypted and secured. Our office will securely download your form and all of the information will be permanently deleted from the Internet.
If you wish to fill out your new patient information form in our office, please allow extra time before your appointment.
Please complete this form as thoroughly as possible.