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Refer a Patient

First please click on the link below to download the Referral form. Next print the form and fill it out.

[ Click here to download PDF version of this form. ]

1. Please call the office to make an appointment.

2. Patients in need of an interpreter must bring one to the appointments.

3. Please bring insurance cards and information.

4. Please note that in most cases the patient is seen first for consultation to review the health history, decide on the most appropriate anesthesia and treatment plan, and schedule the surgery at a separate appointment.

5. Minors must be accompanied by a parent or guardian.

6. If you must reschedule, please call to arrange another appointment 48 hours in advance.Appointments that are not cancelled 48 hours in advance will not be given another appointment.

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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: 9AM to 2PM
Thursday: 9AM to 3PM
Friday: currently by appointment only

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