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Patient Forms
Dr. Radakovich offers a couple ways to fill out patient forms prior to your appointment. You can use our secure online forms to submit your information securely online or you can print traditional pdf forms and fill them out.

Online Secure Forms


Medical History Form
Patient Information and Insurance Form
Financial Arrangements Form




Printable PDF Forms


First please click on the link below to download the Medical History form, Patient Information and Insurance form, and Financial Arrangements form. Next print the forms and fill it out. Please bring with you at your next appointment. Thank you.

Medical History Form - PDF
Patient Information and Insurance Form - PDF
Financial Arrangements Form - PDF

Please call our office to schedule new appointments.



See our upcoming events and pictures from our past dental events and volunteer work.




Office Location:

Joseph J. Radakovich, DMD
Providence Professional Plaza Building
5050 NE Hoyt St, Suite 322
Portland, OR 97213
Phone: 503-455-4673 Fax: 503-230-0344

Office Hours:

Monday, Tuesday & Thursday:
8:30AM to 4:30PM
Wednesday: 8:30AM to 3:00PM
Friday: 8:30AM to 2:00PM

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Joeseph J. Radakovich, DMD | www.radakovichoralsurgery.com | 503-455-4673
5050 NE Hoyt St, Suite 322, Portland, OR 97213



 

 

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