During these uncertain times due to the COVID-19, our team is doing everything we can to protect you and your families with extra precautions. We are paying close attention to the evolving CDC state guidelines and have made adjustments to our office and schedule, as we want to prioritize your safety first and foremost. Our goal is to ensure you that you are safe and well taken care of, and we don’t want your dental needs to go ignored. So please feel free to call us at 503-659-9658 with any questions or concerns you may have concerning our new protocols or your dental health.

Safety Checklist

COVID-19 Patient Screening Form

Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

Yes No  

What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

 

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 

We Love to Hear From You!


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My family has been seeing Dr. Karen Weliky and her friendly staff at Springcreek Family Dentistry for nearly 20 years. She is professional, knowledgeable, and kind. Dr. Weliky and her team take the stress out of going to the dentist. I highly recommended Springcreek Family Dentistry!
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Serving Milwaukie, Oregon City, West Linn, Lake Oswego and the Portland Metro area, we offer general and cosmetic dentistry for adults, children, and teens.
Spring Creek Family Dentistry | www.springcreekfamilydentistry.com | 503-659-9658
2636 SE Harrison St, Milwaukie, OR 97222
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