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  • About Our Offices
    • Meet Dr. Terri Baarstad
    • The SmileAlive Family
    • Virtual Office Tour
    • Patient Reviews
  • Our Services
    • General Dentistry
    • Preventive Care
    • Improve Your Smile
    • Gum Care Treatment
    • Dental Implants
    • Surgical Services
    • Cosmetic Dentist
  • Patient Resources
    • Patient Forms
    • Insurance & Financing
    • FAQ’s
    • Post Op Instructions
      • Dental Implants
      • Extractions
    • Blog
  • Contact Us
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New Patient Forms

For your convenience, our new patient forms are available here online in PDF format.  Please print the required form, fill it out completely, and bring it with you to your first appointment.
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New Patient Form

for adults
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Medical & Dental History

for children
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Privacy Notice

Location & Contact Info

Crescent Ave, Suite 210
Eugene, OR 97408

Phone: 541-683-8396 /
Fax: 541-984-1445
Email: recep@www.smilealive.com

Hours

Monday: 8:00AM – 5:00PM
Tuesday: 8:00AM – 5:00PM
Wednesday: 8:00AM – 5:00PM
Thursday: 8:00AM – 5:00PM
Friday: 8:00AM – 5:00PM
Saturday: Closed
Sunday: Closed

We Are Proud Members

Terri Baarstad Memberships