Patient Form

WE CAN’T WAIT TO MEET YOU!

For your convenience, you may download our new patient forms (3) and fill them out beforehand. 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

Confidential Information Form

Child New Patient Form

Medical History Form

*These forms can be provided in Spanish upon request.

Patient‌ ‌Feedback‌

rachel wood

October 6, 2023

I’ve been coming to this office for a few years now and I just love this entire team! I recently had a tooth removed and Dr. Q went above and beyond on his day off to make sure I got taken care of with some extra antibiotics. Every time I’m there the staff is smiling and happy which makes for such an easy going experience! Madison is so easy to talk to along with Sarah, Christa, and Christine being the best hygienists around! Kyla at the front desk is just the nicest! I can’t say one bad thing about this place and highly recommend using them for all your dental services!

Kelly Warne

October 5, 2023

Awesome staff and Dr. Quigley is the best dentist I've ever been to! Highly recommend

Wes Meyers

September 29, 2023

No waiting. Clean and safe environment. Thorough cleaning. Entertaining and pleasant discussion.

Steve Stephenson

September 27, 2023

This is the best dental experience I have ever had. Unparalleled expertise and care. Dr Quigley found an issue missed by other dentists for years that clearly needed to be addressed. Great communication by the doctor and excellent care by the staff.

Elaine Scott

September 25, 2023

I can't say enough good things about Dr. Q and his team at Bend Dental Wellness. Their dental knowledge and expertise is first class, but moreover the importance they place on really knowing and caring about the patient is second to none. I'm very grateful to be their patient.