Kids Dental Forms

Registration Forms

Please take a moment to fill out the registration forms before your appt.

New Patient Registration online form (submit online)
New Registration Form (print and bring with you)

Records Transfer Forms

Incoming Records Transfer Form
Outgoing Records Transfer Form

Miscellaneous Forms

HIPAA Form
Referral Pad
Oregon Department of Education Dental Screening

Mar 19, 2020

by Sam D. on Young Kidz Dental

Dr. Young and his staff are absolutely amazing! I have a child with special needs and they are so fantastic with making sure everything is just the way he needs it. Plus they are so so patient and sweet with my toddler. I highly recommend this dental practice. My kids love going because of how great they are!

Mar 19, 2020

by SUPER C. on Young Kidz Dental

I have been taking my kids to Dr.Young for about 10 years now and he is so amazing with all 4 of my kids, the dental hygienist is super nice and patient with my 4 year old twins and my kids always get excited when it’s time to go see Dr.Young!

Mar 19, 2020

by Arriana S. on Young Kidz Dental

It’s all about the phone call returned within a day, the willingness to work with schedule mishaps, cancellations and re-scheduling appointments. The kind voices of staff while on a phone call with them. The excellent care of all the staff from the dentist, to the hygienest , assistant and office support.

Mar 19, 2020

by Jacob M. on Young Kidz Dental

Young Kidz Dental is an excellent pediatric dental clinic. Everyone from the front office staff to the dental assistants to the doctor are top notch. We have been very happy with our experiences here.

Mar 19, 2020

by Annie Mortland C. on Young Kidz Dental

Thanks so much to Young Kidz Dental for the excellent work with my boys today. You even got my cranky 3-year-old to open up and get a thorough cleaning (I wasn’t optimistic!). We are very grateful for your staff for the cheerful and supportive care.

MORE REVIEWS

Latest News

Gentle Care For Children of All Ages

Dr. Young provides extra gentle care to children of all ages, and our staff provides such a positive experience to our patients that many of…continue reading ›

The Why, When, How and Where of Tongue Scraping

Imagine it’s still winter … you’re standing at the door, ready to brave the cold. You’re layered-up with three shirts and a sweatshirt, your heavy…continue reading ›

Fluoride Varnish: What Parents Need to Know

When your child’s first tooth appears, Dr. Young with Young Kidz Dental will begin to talk to you and your child about how important healthy…continue reading ›

Young Kidz Dental_Young Girl Covering her Mouth

Causes of Bad Breath in Children

Bad breath, medically known as halitosis, is a condition that even healthy children can sometimes experience. If you’ve noticed that your little one’s breath is…continue reading ›

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