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James A. Dutro, DMD
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All–On–4® Treatment Concept
Dental Implants
Periodontics
Preventive Dentistry
Restorative Dentistry
Cosmetic Dentistry
New Patient Information
Resources
Patient Forms
Contact Us
Home
Meet Our Team
James A. Dutro, DMD
Our Dental Team
Our Practice
Smile Gallery
Testimonials
Dental Services
All–On–4® Treatment Concept
Dental Implants
Periodontics
Preventive Dentistry
Restorative Dentistry
Cosmetic Dentistry
New Patient Information
Resources
Patient Forms
Contact Us
Patient Forms
We at Dutro Family Dentistry want to make your visit with us as convenient as possible. So, to expedite your process, you can now click on the following new patient forms, then download, print and fill them out before your initial appointment.
Print Forms Individually
Child Forms
•
Child Medical History [PDF]
•
Release of Records [PDF]
•
Financial Policy [PDF]
•
HIPPA [PDF]
Adult Forms
•
Patient Registration [PDF]
•
Adult Medical History [PDF]
•
Dental History [PDF]
•
Release of Records [PDF]
•
Financial Policy [PDF]
•
HIPPA [PDF]
Conveniently Located on Cornell Rd.
Next to Intel and NW Region ESD
5840 NE Cornell Road, Hillsboro, OR 97124-9000
Phone
(503) 648-3212
Hours
Mon - Thur: 8:00am–5:00pm
New Patient Forms
Request Appointment
Dental Services
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Dutro Family Dentistry
and
WEO Media (Touchpoint Communications LLC)
. All rights reserved.
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Dutro Family Dentistry, 5840 NE Cornell Road, Hillsboro, OR 97124 \ (503) 648-3212 \ dutrodental.com \ 5/25/2022 \ Tags: dentist Hillsboro OR \