COVID-19: How We’re Keeping Our Patients and Staff Safe Along with your dental health, your safety is our foremost priority. Learn more about the precautionary measures we’ve taken to ensure you can receive the quality care you need when you need it most.

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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

Business 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 Of

Eugene Office

2921 Crescent Ave, Suite 210
Eugene, OR 97408

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

Springfield Office

1717 Centennial Blvd, Ste 3
Springfield, OR 97477

Phone: 541-746-9552
Fax: 541-736-8803
Email: office@smilealive.com

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