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Patient Forms

We want to welcome you to the Advanced Dental Concepts family!

We are glad that you are interested in becoming a patient of Dr. Jack Jorgensen’s Vancouver, WA dental practice. New patients are always welcome here. Everyone at Advanced Dental Concepts is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. Jack Jorgensen and the Advanced Dental Concepts team


Click below to download New Patient Registration Materials


Patient Registration

Medical History Exam

Privacy Notice

Sleep Apnea Survey