Dr. John T. Roberts
Dr. Cheryl Hansen

Patient Forms

The Hillsboro Dental Center looks forward to your first visit. Please take the time to download your new patient forms and fill them out before your first visit. If you have any questions, please contact us at 503.648.2935.

All Forms Combined (Release of Records, Contact & Insurance Information, Medical History, Dental History, Patient Agreement, Privacy Acknowledgement, Privacy Policy)
Print, fill out and bring in all forms to your first appointment.

Privacy Policy

• Privacy Notice - Please read, but it is not necessary to print this form

• Privacy Acknowledgement - Please print and sign this form.

Hillsboro Dental Center
Dr. John T. Roberts and Dr. Cheryl Hansen
4440 NE Cornell Rd.
Hillsboro, OR 97124

503-648-2829

Hillsboro Dental Center | www.hillsborodentalcenter.com | (503) 648-2829
4440 NE Cornell Rd, Hillsboro, OR 97124