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Clackamas Implant & Oral Surgery Center - Brett Sullivan, DMD, MD
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New Patient Forms


New Patient Forms at Clackamas Implant & Oral Surgery Center Our office is on a paperless health record system. As a first time patient, you will need to complete your registration forms by clicking on the button below. This link takes you directly to our secure, online Registration Form.

After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Registration Form

HIPAA Documents


HIPAA Notice of Privacy Practices
Release of Verbal Health Information
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Phone


(503) 652-8080

Hours


Mon - Thu: 8:00am–4:00pm
Friday: 8:00am–2:00pm
PLEASE CALL TO SCHEDULE.
Copyright © 2016-2024 Clackamas Implant & Oral Surgery Center - Brett Sullivan, DMD, MD and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
New Patient Forms | Clackamas Implant & Oral Surgery Center
At Clackamas Implant & Oral Surgery Center, we want to make the process of finding an oral surgeon as easy as possible. Click here to access new patient forms.
Clackamas Implant & Oral Surgery Center - Brett Sullivan, DMD, MD, 11211 SE Sunnyside Road, Clackamas, OR 97015 + (503) 652-8080 + clackamasoralsurgery.com + 10/15/2024 + Page Terms:dental implants Clackamas OR +