P: (503) 951-9994 F: (503) 217-9554

Patient Forms

We have made all of our patient forms available to you in one location as Adobe Acrobat files.

Pre-Operative Instructions for Dental Surgery Medical History Update FormExtraction/Post-Op RecordModerate Sedation RecordDisclosure & Consent Post-Operative Instructions for Sedation PatientsPost-Operative Instructions Following Dental Surgery Acknowledgement of Privacy Practices

Additional forms that might need to be accessed and printed include:

RX FormsMedical Consultation for Dental SurgerySupplemental Disclosure and Consent


Contact Dr. McKinney

(503) 951-9994