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

Alex Dreifke

September 23, 2020.

I had a great experience here. Everyone was super nice and seemed personally interested in me as a person as well as my oral health. My teeth feel super clean, and it was overall a great experience. Definitely recommended!

Jess S

September 12, 2020.

I went in for my first appointment and Dr Quigley and his staff were very kind and welcoming. The entire appointment was a “getting to know you” type visit with a super thorough exam/assessment, including lots of photos for a record and visual to assure everyone is on the same page. They seem very concerned with making it a pleasurable experience and environment, wanting their patient to feel safe and at ease. I look forward to working with them.

Anna Nelson

August 12, 2020.

I moved to Bend and needed a new dentist. I ended up with Dental Wellness of Bend and have to say, that I really love the practice and the whole team. My dentist, Dr. Quigley, is really great! He makes you feel so comfortable even when you are a little nervous and I definitely feel very well taken care of there. I think they do a great job. The routine exams and cleanings are very thorough and they definitely don't miss anything!

Jayson Carte

August 11, 2020.

They are always very nice, the prices are great, and the clinic was a immaculately clean.

Lori

July 15, 2020.

I wasn't an established patient and called with a dental emergency. They got me in quickly. I was terrified and having a full meltdown and these wonderful people were calm to my chaos and so patient with me. I was a wreck and they were so compassionate. They were not just there to fix my broken molar but to help me, as a distraught person, get though this. Thank you!

Christine Keeth

June 30, 2020.

An office that is using the latest technology to diagnose. I've had two cleanings and understand what work will be needed. Service is prompt and friendly.