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Patient Forms

At Dr. Rust’s office in Eugene, OR, we aim to make your appointment as convenient for you as possible. To help your prepare for your visit with our dentist, we encourage you to complete our patient forms in advance. Please bring the completed forms to your appointment so we can spend more time focusing on what is really important – your oral health.

  • Welcome Form
  • Payment Policy
  • Privacy Policies

    New Patient Form:


    Health History Form:

    To use the following online form, you must use Google Chrome on desktop. If you do not have Chrome, you can download it HERE.

    Health History Downloadable

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