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New Patient Forms
For added convenience we have made our new patient forms available for you to print and fill out in your own home. Although this is not required, bringing these completed forms with you to the clinic will save you time on your first visit.

All forms are in Adobe Acrobat format and require the Adobe Reader to be installed on your computer for viewing. A free download of the Reader is available from the Adobe website. We have included a link below for your convenience. Simply bring the completed forms with you on your next visit.

New Patient Forms

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Payment Plans Available (OAC)
CareCredit is a personal line of credit for healthcare treatments and procedures for your entire family. It works like a credit card but can only be used for healthcare services.

We accept most insurance and will submit claims on your behalf. We participate with the following insurance companies: Delta Dental and Aetna.

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Van Gordon Endodontics | | 503-627-0291
3925 SW 153rd Drive, Suite 220, Beaverton, OR 97006



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Van Gordon Endodontics, 3925 SW 153rd Drive, Suite 220, Beaverton, OR 97006 / 503-627-0291 / / 2/1/2023 / Page Phrases: Root Canal Beaverton OR /