Google+ Button

Forms

Forms in PDF format are available for download. Click on the links below to download and save the forms.

•  Patient Information
•  Medical Health History
•  Parent Responsibility
•  Financial Policy
•  Consent for Use and Disclosure of Health Information
•  Notice of Privacy Practices
•  Acknowledgement of Receipt of Notice of Privacy Practices












Payment Plans Available (OAC)
CareCredit is a personal line of credit for healthcare treatments and procedures for your entire family. It works like a credit card but can only be used for healthcare services.



Our Affiliations










Lisa Gitelson, DMD &
David Wilson, DMD
14300 SW Pacific Hwy
Tigard, OR 97224
(503) 985-8945
M-W 7-5,

Home  | Lisa Gitelson, DMD  | David Wilson, DMD  | Our Team  | Dental Services  | Financial FAQ's  | Forms  | Testimonials  | Contact Us  | Dental Blog  | Preventive Dentistry  | Children's Dentistry  | Cosmetic Dentistry  | Restorative Dentistry  | Sedation Dentistry




Lisa Gitelson, DMD and David Wilson, DMD | www.dentisttigard.com | (503) 985-8945
14300 SW Pacific Hwy, Tigard, OR 97224



 

 

Copyright © 2011-2017 Lisa Gitelson, DMD and David Wilson, DMD. All rights reserved.  Sitemap | Links