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Clear Correct Forms

If you are a new patient to our office, the attached file contains our Clear Correct patient forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

CC Informed Consent

CC Patient Cooperation Agreement

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

1285 Wallace Road NW|Salem, OR 97304|MAP & Directions

Call: (503)391-9016