(503) 297-8866

Patient Forms, Map and Directions to Portland Office

Your first visit to Barnes Dental establishes a vital foundation for our relationship with you.  During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.


Patient Forms

Please print and fill out these forms so we can expedite your first visit:

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


Mission Statement

Our practice objective is to have a positive impact on oral health of our patient population and to provide our patients with the highest quality of care in an out most comfortable setting and to keep up with the advancements in the field of dentistry and dental materials.

New patients

The fee for your initial comprehensive evaluation and x-rays is typically covered by most PPO insurances and will be billed to your insurance carrier. For any additional treatment, you will get a detailed treatment plan.

Part of helping our patients feel comfortable while at our practice is providing them with an exceptional new patient experience. It is during this initial meeting that our dentists and staff begin to get to know you, and to learn what your preferences, needs, and goals are for your dental care.

The new patient experience is so much more than the typical examination. We see it as our opportunity to begin cultivating a relationship so that we can help you maintain a healthy and beautiful smile for a lifetime.

Before we start our clinical examination, we will listen to your concerns and try to understand your unique desires, concerns, and your own ideas about aesthetic dentistry. We will then assess your need for a dental evaluation using x-rays, initial diagnostic impressions of your teeth and digital photographs.

It is critical to evaluate your specific needs based on your:

  • Periodontal health (gum & bone)
  • Biomechanical considerations (existing tooth structure and previous dentistry)
  • Function (joint, bite and chewing)
  • Dentofacial characteristics (smile)

We will then formulate a treatment plan based not only on clinical information, but on your vision as well. We encourage your input at all times. The final phase is your decision to maximize your dental health and aesthetics with the most appropriate plan considering your unique life circumstances, needs, and desires.

We make sure the treatment works with your schedule, lifestyle, and financial situation. Once the treatment needs have been established, we will assist you in coordinating the necessary appointments to manage that treatment. We will also work closely with you to help facilitate any treatment that may involve other dental specialists. We invite you to call to discuss your particular needs, and to schedule an appointment with us at our next available appointment time.

What should I bring with me?

Your completion of the following forms will help make your initial visit go more smoothly. Please email them or bring them with you to your appointment.

  1. Confidential Information Questionnaire
  2. Dental/Medical History
  3. HIPPA- Statement of privacy Practices/Confidentiality Acknowledgement
  4. Recent records if you are coming for a second opinion

The first form will allow us to establish accurate information for your dental accounting records. If you have dental insurance, please bring a completed form or insurance card with you.

The second form is also very important, as it will allow us to get to know your dental and medical history. This will help us to evaluate any current medical concerns that may contribute to dental disease, and to explore questions you may have regarding your oral health.

The third form states that you have reviewed and acknowledged our policy regarding protection of your personal/private information.

“To save time on your first visit, feel free to download and complete the required forms before you come in.”


What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.


Driving Directions

Contact Us

Barnes Dental

(503) 297-8866
7325 SW Barnes Rd Portland, OR 97225