Corvallis OR Dentist Dr. Curtis M. Clark
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  Patient Info

Address:
2500 NW Century Dr.
Corvallis, OR 97330

Telephone: (541) 754-0600

FAX: (541) 758-4282

Emergency Cell Phone Number: (541) 740-5971

E-mail for information: info@DrCurtisClark.com

Office Hours:

Monday 8:00 a.m.
-
5:00 p.m.
Tuesday 8:00 a.m.
-
5:00 p.m.
Wednesday 8:00 a.m.
-
5:00 p.m.
Thursday 8:00 a.m.
-
5:00 p.m.
Friday by appointment only


Map:

 


New Patient Forms

formIf you would like to complete your registration forms before you arrive, you may download them by clicking below. The New Patient Form and Health History Form are in PDF format. If you do not have Acrobat Reader, get a free copy by clicking on the link below. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

New patients, please bring all 4 forms with you when you come to our office.

Adobe PDFAdobe ReaderNew Patient Registration (Acrobat PDF form)

Adobe PDFMedical History Form (Acrobat PDF form)

Adobe PDFNotice of Privacy Practices Acknowledgement(Acrobat PDF form)

Adobe PDFFinancial Policy and Agreement (Acrobat PDF form)


Insurance and Payment Options

Payment:

Payment is expected at time of service. If you have insurance, you will be expected to make an estimated payment for that portion not covered by your insurance plan. For that portion of costs not covered by insurance, we offer several payment options:

  • Cash or Personal Check
  • Credit Card - We accept MasterCard, Visa and Discover.
MasterCard
Visa

Insurance:

Dental insurance is intended to cover some, but not all of the cost of your dental care. Most plans include coinsurance provisions, a deductible, and certain other expenses which must be paid by the patient at the time of services. Reimbursement amounts are not, and never have been, a guideline for quality care.

We can file most insurance claims for you. Please bring your insurance plan information with you on your first visit. We will work with you to ensure that you receive the maximum benefits to which you are entitled.

If you have any questions about your insurance plan or payment options, please call our staff at (541) 754-0600.