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9370 SW Greenburg Rd, Ste 422, Portland, OR 97223
2 blocks from Washington Square Mall
(503) 647-4972
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2021-01-07T22:13:52+00:00
Schedule Your Discovery Appointment
We are excited to see you! In order to best serve you, we have created this form to facilitate scheduling an appointment that best fits your schedule. Please complete all of the following questions. We will check our calendar availability and call you to coordinate and confirm a convenient time for you.
Name
*
First
Last
Email
*
Phone
Are You a New Patient?
Yes
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What Type of Appointment Would You Like to Schedule?
*
Snoring Treatment
Sleep Apnea Treatment
CPAP Alternatives
Check Up Exam
Oral Device for Sleep Apnea
Other
Other:
What time of day do you prefer (Mornings or Afternoons)?
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Mornings
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Preferred Day of the Week?
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Monday
Tuesday
Wednesday
Thursday
Friday
Any Comments?
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Contact Details
Office: (503) 647-4972
Fax: (971) 339-0824
9370 SW Greenburg Rd
Suite 422
Portland, OR 97223
Located in the Lincoln Building, two blocks from Washington Square Mall
