Patient Forms

The Hillsboro Dental Center looks forward to your first visit. Please take the time to download your new patient forms and fill them out before your first visit. If you have any questions, please contact us at 503.648.2935.

• Privacy Notice - Please read, but it is not necessary to print this form

• Privacy Acknowledgement - Please print and sign this form.

• Dental History - Please print and fill out this form.

• Medical History - Please print and fill out this form.

Hillsboro Dental Center
Home of Dr. Allan J. Kiley
and Dr. John T. Roberts
4440 NE Cornell Rd.
Hillsboro, OR 97124

503.648.2829

Visit Hillsboro Dental Center on Google+

Hillsboro Dental Center - Dr. Kiley & Dr. Roberts | www.hillsborodentalcenter.com | (503) 648-2829
4440 NE Cornell Rd, Hillsboro, OR 97124