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Please complete the following forms prior to your scheduled consultation, and of course let us know if you have any questions along the way!
We want to do our best for you and your patients. When sending patients our way, please help us make the most of their experience by downloading and completing the following form, then faxing it to our office at 503-255-1625.
Please also email the most up-to-date Full Mouth Xrays you have for the patient to our office at info@s.periopdx.com so our doctors can review them prior to their new patient exam.
Dr. Brock Herriges, DMD | Periodontics & Dental Implants
1130 SE 122nd Ave
Portland, OR 97233.
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