ADA Accessibility Information
Accessibility

A
A

A
Facebook 48
WEO Yelp
slide show image img1
slide show image img1

Forms for our Dental Patients

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
invisible spacer graphic invisible spacer graphic
Radakovich Button Contact Us
Please call our office to schedule new appointments.


rada Events Volunteer button
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: 9AM to 3PM
Tuesday: 9AM to 3PM
Wednesday: 9:30AM to 2PM
Thursday: 9AM to 3PM
Friday: 9AM to Noon

Map


View Larger Map

ACLS Certified  Radokavich

Read Our Google Reviews

by , DMD

Like Us on FB


Home  | About Us  | Dental Implants  | Wisdom Teeth  | Oral Surgery  | Patient Info  | Forms  | Contact  | Candidates  | Success Rate  | Types of Dental Implants  | Single Tooth Implants  | Bone Grafting  | Osseointegration  | Frequently Asked Questions  | Post-Op Instructions  | Videos  | What are Wisdom Teeth?  | Management of Impacted Teeth  | Wisdom Teeth Videos  | Wisdom Teeth Removal FAQ  | Pre-Operative Instructions  | Post-Operative Instructions  | Tooth Extractions  | General FAQ  | Patient Privacy  | 3D Imaging  | Resource Links  | Video Gallery  | Joseph Radakovich, DMD  | Meet Our Team  | Refer a Patient  | Testimonials  | Events and Volunteer Work




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