Dennis P. Clark, DMD, P.C.
Oral & Maxillofacial Surgery
9430 SW Coral Street, Suite 200, Tigard, OR 97223
Phone: 503-245-1100 • Fax: 503-473-8300
  • PATIENT INFORMATION
    • Welcome
    • Scheduling
    • Financial & Insurance Information
    • Privacy Policy
    • Online Videos
  • PROCEDURES
    • Dental Implants
    • Bone Grafting
    • Wisdom Teeth
    • Impacted Canines
    • Facial Trauma
    • Jaw Surgery
    • Oral Pathology
    • TMJ Disorders
    • Sleep Apnea
    • Pre-Prosthetic Surgery
  • MEET US
    • Meet Dr. Clark
    • Meet Our Staff
    • Office Tour
  • INSTRUCTIONS
    • Before IV or General Anesthesia
    • Before Local Anesthesia
    • Before Nitrous Oxide
    • Before Oral Pre-medication
    • Post-operative Instructions
    • Post-operative Sinus Precautions
  • ONLINE FORMS
    • Patient Registration
    • Financal Agreement
    • Authorization Form to Release Information
    • Consent Forms
  • REFERRING DOCTORS
    • Referral Form
    • Links of Interest
  • CONTACT US
    • Contact Information
    • Office Map
    • In Case of Emergency

Online Forms

  • Patient Registration
  • Financal Agreement
  • Authorization Form to Release Information
  • Consent Forms

Consent Forms

The following is a list of our consent forms. You are welcome to download and review these forms. We will have you sign the appropriate consent forms once your treatment plan has been determined.

Technical Note:

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  • Consent Oral Surgery and Anesthesia.
  • Consent Implant Surgery.
  • Consent Bone Grafting Procedure.
  • Agreement for Continuing Care and Follow up.
  • Compliance for Implant Surgery.
  • Consent Cleft Palate Repair Surgery.
  • Consent Dental Treatment in Irradiated Areas.
  • Consent Excision of Submandibular Salivary Gland.
  • Consent for Biopsy Procedure.
  • Consent for Closure of Sinus Opening.
  • Consent for Cortical Bone Grafting.
  • Consent for Oral Surgery Treatment in Patients Who Have Received Intravenous Bisphosphonate Drugs.
  • Consent-Incision-and-Drainage.pdf.
  • Consent Oral Bisphosphonate Drugs Consent.
  • Consent Orthognathic Surgery.
  • Consent Ridge Augmentation Surgery.
  • Consent Treatment Facial Dental Injury.
  • Consent Uncovering Teeth for Orthodontic Care.

Dennis P. Clark, DMD, P.C.   |   Oral & Maxillofacial Surgery

9430 SW Coral Street, Suite 200   |   Tigard, OR 97223   |   Phone: 503-245-1100   |   Fax: 503-473-8300

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