New Patient Forms


Welcome to our family! It is our goal to make you as comfortable as possible while providing the best care possible. If visiting the dentist makes you feel anxious or if you have other concerns, please let us know so we can help. You may want to meet our team before you come in so you will recognize a familiar face.

You should be able to find everything you need for your first visit on this page including:

  • What To Expect At Your First Visit
  • Financial Information
  • New Patient Paperwork
  • First Visit Checklist


What to Expect at Your First Visit

Your first visit is all about you – your comfort, your happiness, and your health.

During your first visit, we will review your dental and medical history forms, and take X-rays of your teeth and mouth. Then, the doctor will meet with you to discuss your X-rays, help you create your own individual treatment plan, and answer any questions that you may have.

At your next visit, one of our hygienists will clean and polish your teeth, checking your teeth and gums for any cavities or early signs of tooth decay or gingivitis.


Financial Information

The cost of your treatment will vary depending on your individual needs, insurance coverage, and treatment plan. We'll work with your insurance provider to make sure that your coverage meets your needs and your budget. Before you begin, we will discuss with you the cost of your treatment and each of your available payment options so that you can make the best choice for you.

Our practice accepts CareCredit, most major credit cards, and insurance plans. Affordable payment plans are also available.

Our office staff is always available to help you with insurance claims and paperwork. Please let us know if you have any questions about your insurance coverage.


New Patient Forms

First Visit Checklist

  1. Completed New Patient Paperwork

  2. Insurance Card

  3. Method of Payment for Co-pay (if applicable)

  4. 45-90 Minutes

  5. Your Smile

Chambers Bridge Dental
914 South 4th St.
Cottage Grove, OR 97424
Phone: 541-942-1559
Office Hours

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