In case of inclement weather, our office may be closed. If roads are snowy or icy, please call our office on the day of your appointment to confirm that we are open.

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Dr. Pike Dentistry For Children
5440 SW Westgate Dr., Ste. 380
Portland, OR 97221
(503) 297-1711
info@doctorpike.com
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  • FAQ
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  • Contact Us
    • Office Location
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    • New Patient Appointment Request
    • Dental Referral
  • Home
  • Meet the Team
    • Meet Dr. Allan Pike
    • Meet Dr. Steven Pike
    • Meet Dr. Suher Baker
    • Meet The Staff
  • New Patients
    • Testimonials
    • What Sets Us Apart
    • Office Visits
    • Financial Information
    • Office Tour
    • Holistic Practices
    • Forms
  • Treatments
    • Fluoride Treatments
    • Sealants
    • Digital X-rays
    • Sports Dentistry
    • DIAGNOdent
    • About Orthodontics
    • Emergency Dental Treatment
    • Autism & Special Needs Dentistry
    • Sedation Dentistry
  • FAQ
  • Review Us
  • Contact Us
    • Office Location
    • Appointment Request
    • New Patient Appointment Request
    • Dental Referral
Home > Forms

Forms

For your convenience we have added secure patient forms below which can be filled out and submitted online. Click a link below to get started.

HIPAA Signature
Notice of Privacy Practices

Get Acquainted Questionnaire
New Patient Health History

Financial Agreement and Policies
All Four Forms
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Dr. Pike Dentistry for Children 5440 SW Westgate Dr., Ste 380
Portland, OR 97221
(503) 297-1711
(503) 297-2152
info@doctorpike.com
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