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

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

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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