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  • Home
  • Meet Us
    • Meet Dr. Mikhail Garibov
    • Meet the Team
    • Our Office
    • Smile Gallery
    • Advanced Technology
    • Patient Testimonials
    • Blog
  • Services
    • Bone Grafting
    • Cosmetic Periodontal Surgery
    • Crown Lengthening
    • Dental Implants
    • Frenectomy
    • Gum Grafting
    • Implants and Dentures
    • Laser Periodontal Therapy
    • Oral Sedation
    • Periodontal Maintenance
    • Pocket Reduction Surgery
    • Scaling and Root Planing
    • Sinus Augmentation
    • Tooth Extraction and Bone Preservation
  • Patient Info
    • New Patient Forms
    • Information for Patients
    • Pre-Op and Post-Op Resources
    • COVID-19 Information
  • Why Us
  • Referring Doctors
    • Referral Forms
    • Lunch and Learn Presentations
  • Contact
  • Pay Now
  • (360) 524-4236
Periodontist in Vancouver WA - Columbia River Implants and Periodontics
Говорим по-русски
Розмовляємо українською
(360) 524-4236
9300 NE Vancouver Mall Dr, Suite #205 Vancouver, WA 98662
New Patient Forms
Periodontist in Vancouver WA - Columbia River Implants and Periodontics
Говорим по-русски
Розмовляємо українською
(360) 524-4236
9300 NE Vancouver Mall Dr, Suite #205 Vancouver, WA 98662
New Patient Forms

New Patient Forms

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For your convenience, please download and fill out the following PDF forms for new patients:

Patient Registration →
Health History →
Acknowledgement of Privacy Practices and Statement of Privacy Practices →
Anxiety Questionnaire →
Financial Policy →
Plan for Periodontal Health →
ADA COVID-19 Patient Screening →
Address
9300 NE Vancouver Mall Dr, Suite #205 Vancouver, WA 98662
Contact
(360) 524-4236
(360) 397-6867 (fax)
Email: office@colriverperio.com
Request an Appointment
Office Hours
Mon 8:00 am - 4:00 pm
Tue 8:00 am - 4:00 pm
Wed 8:00 am - 4:00 pm
Thu 8:00 am - 4:00 pm
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