Patient Forms

WE CAN’T WAIT TO MEET YOU!

For your convenience, you may download our new patient forms (3) and fill them out beforehand. We also ask you to sign a copy of our office policies.
Don’t forget to bring them with you or you may email them to us at info@benddentalwellness.com prior to your first appointment.

Dental History Form

Child New Patient Form

Office Policies

Adult New Patient Form

Medical History Form

*These forms can be provided in Spanish upon request.

Patient‌ ‌Feedback‌

      EXCELLENT  
   Based on 203 reviews 
    
 
 
 
   
 
 
       Posted on Google  
   
   Michael M 
 December 19, 2024
 
 
 Trustindex verifies that the original source of the review is Google. Great staff and care at Bend Dental Wellness!
  
 
      Posted on Google  
   
   Angela Chown 
 December 13, 2024
 
 
 Trustindex verifies that the original source of the review is Google. We have been going here for 5 years. We really enjoy how kind all of the staff are. Up to date modern tools.
  
 
      Posted on Google  
   
   Wes Meyers 
 December 10, 2024
 
 
 Trustindex verifies that the original source of the review is Google. I had an emergency and they found a way to get me in to be seen the same day. The staff and Dr Quigley were helpful and professional. I’ve been going to Bend Dental Wellness for four years and it has always been professional and friendly.
  
 
      Posted on Google  
   
   Carolyn DeLong 
 November 19, 2024
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Blake Q and his staff are very friendly and competent. I did choose this practice because of his 'better' practices with dental care. And I've been very satisfied with my dental care for the past 3+years and will continue. Had a cleaning today with Mara and she was very gentle and thorough.
  
 
      Posted on Google  
   
   Bill McMahon 
 November 2, 2024
 
 
 Trustindex verifies that the original source of the review is Google. The service was excellent, both my teeth cleaning and discussion of possible future needs.