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Exceptional Needs Dental Services

Mobile and Hospital Dental Services

Exceptional Needs Dental Services

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Forms

Authorization to Release Patient Records Form (PDF)
Financial Responsibility Form (PDF)
Consent for Hospital Based Dental Care (PDF)

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Dentists treating patients

Exceptional Needs Dental Services
12029 NE Sumner St | Portland, OR 97220
Local: 503.295.1201 | Toll Free: 800.644.1859 | Fax: 503.295.1211

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