If you would like to save some time during your first visit with our dentists in Salem, Oregon, we invite you to complete your new patient forms in advance. We have provided our forms here on this page; simply download the forms below, fill them out, and bring them with you for your appointment with Dr. Cooper and Dr. Nebeker. For more information and for assistance, please feel free to call us at Smiles Dental. Our friendly team is happy to help!

Treatment Registration

Medical History

Smiles Financial Policy

Privacy Policy Acknowledgement

Privacy Policies

Release of Records