Patient Forms


Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form - [PDF]
  • Records Release Form - [PDF]

If you're unable to open PDF files, you can get Adobe Reader® for free.

Hilander Dental also offers three scholarships every year.  Criteria: Must be a graduating high school senior from Kelso, R.A. Long, Mark Morris or Three Rivers Christian planning on attending an accredited two or four year college or university and/or trade school, for a dental related career or any graduating high school senior that is a Hilander Dental patient. Scholarship amounts include two, $500 and one, $1000.  Download Scholarship application at link below:

  • Hilander Dental Scholarship Application -  [PDF][DOC

If you're unable to open PDF files, you can get Adobe Reader® for free.

“I have been going to Hilander Dental for many years and honestly, I have never been disappointed. On the contrary—I continue to be impressed with how professional and courteous the entire staff is in making our visits comfortable. Thank you!”
-Gregory H.
“I switched to Hilander Dental after my dentist retired. I personally am very picky on who is working on my teeth. I did some research before and I am so glad because this office is so friendly with a wonderful helpful staff, not to mention great dentists.”
-Tami H.
“Hilander Dental has been so accommodating and helpful with my family's crazy schedule. For a dentist office to feel like home... that's pretty hard to do. It's an added bonus that they are a quality businesses that is locally owned and operated!”
-Jennie K.
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