Call us today to schedule an appointment: 541-388-1434
Patient forms
New patients start here; fill out your paperwork before your appointment.
Call Us
541-388-1434
appointments available
Mon., Tues., Thurs., Fri.
7:30am – 4:00pm
Wednesday
8:30am – 5:00pm
Office address
2250 NE Professional Ct
Bend, Oregon 97701
Get Directions
Before Your Appointment
We are pleased to offer you the convenience of filling out your paperwork at home before your appointment. Please print and complete either the PDF or Word forms to the right. Please also review (you don’t need to print it unless you want a copy for your own records) our Notice of Privacy Practices prior to your appointment. If you would like your previous dental x-rays transferred, fill out the Consent for Release Form also and we will do the rest! If you are covered by dental insurance, please bring your card with you along with the completed forms to your appointment.
Thanks and we look forward to meeting you!
Printable Patient Forms
has it been a while since you’ve seen the dentist?
Don’t worry. We’ve seen people just like you who want to get their dental health back on track. We provide compassionate, gentle and judgement-free care.
Cancellation Policy
We know there are times and situations when you cannot make or keep your appointment. If this happens, please know we need 48 hours notice so we may offer this time to another patient. Cancellations within 48 hours are subject to a fee.
East Bend Dental
Call Us
541-388-1434
Fax
541-388-1293
Office Address
2250 NE Professional Ct.
Bend, Oregon 97701
GET DIRECTIONS
Hours
Appointments Available
Mon., Tues., Thurs.
7:30am - 4:00pm
Wed.
8:00am - 5:00pm
REQUEST AN APPOINTMENT
special assistance
We understand the special needs of some patients. Should you need assistance with our website or any information provided, visit our Accessibility Page. You may call us directly at 541-388-1434 or email us using the contact form above and we will gladly provide necessary assistance.