"I have been having problems with my teeth all my life. Then I met Dr. Rassouli and what a difference! He is meticulous and spends the time to do things right. I love my new teeth."

~Craig H., Tigard

5440 SW Westgate Drive
Suite 360
Portland, Oregon, 97221
503.297.4400

Welcome | Initial Consultation | Scheduling | Financial and Insurance | Patient Registration

patient information

Patient Registration Form

Our online forms use the Adobe Acrobat Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please CLICK HERE to download the plugin from Adobe's web site if it is not already installed on your system.

Once you have downloaded, printed, and filled out the following forms, bring them in at the time of your visit.

Consultation Questioner

Financial Policy

Implant Patient Information & Consent Form

Post Operative Instructions (Implant Surgery)

Post Operative Instructions (Oral Surgery)

Surgical Procedures | Restoration | Implant Treatment | Dr. Rassouli | Patient Info