DAVID A. LESTER, DDS, PC - Crescent Family Dentistry, Eugene, OR 97408-7397

2834 Crescent Avenue, Eugene, Oregon 97408-7397 | Phone: 541-686-9372

Welcome to our office and thank you for choosing our practice! We look forward to meeting you. We know you’ll enjoy Dr. Lester and our family oriented care.

Please download, print, and complete the following forms and return them to us as soon as possible. If the completed forms have not been returned prior to your scheduled appointment, there may be a delay before you will be able to see the dentist.

		Patient Registration (Download PDF)
		Payment Policy Acknowledgement (Download PDF)
		Notice of Privacy Practices (Download PDF)
		Acknowledgement of Receipt of Notice of Privacy Practices (Download PDF)
		Medical History (2-sided) (Download PDF)

(You do not have to return the actual Notice of Privacy Practices.)
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Please be sure to call us 48-hours in advance if you are unable to keep an appointment as this notice makes it possible to give your appointment time to another patient who desires to see the doctor. We reserve the right to charge a broken appointment fee or not reschedule missed appointments with less than a 48-hour reschedule notice. We have voice mail available 24 hours a day, 7 days a week for your convenience.

We try to see all patients on an appointment basis and request that you call in advance so we can reserve time for you. Our office telephone number is (541) 686-9372. We make every effort to honor all time commitments and request that you extend the same courtesy to us. If you have any questions, please don’t hesitate to call.

Sincerely,
David A. Lester, DDS, PC & Staff