Patient Forms, Map and Directions to Portland Office
Your first visit to Dr. Anzelc's office establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
Dr. Anzelc and her staff pride themselves in providing comprehensive, preventive, restorative, and cosmetic care with a focus on individual needs.
Please print and fill out these forms so we can expedite your first visit:
- Registration form [ PDF ][ Online ]
- Medical and Dental History [ PDF ][ Online ]
- Permission to Speak to Family Members [ PDF ][ Online ]
- HIPAA Brochure [ PDF ][ Online ]
- Acknowledgment of HIPAA Brochure [ PDF ][ Online ]
- Office Policy
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Also, take some time to review our staff page and familiarize yourself with the doctor and her staff. We look forward to your first visit.