Patient Info

Need Patient Forms? For your convenience we have added our new patient information forms online so you can print and complete them in the comforts of your own home. Doing so in advance will allow us to serve you better during your initial visit to Dr. William Bateman’s.

Confidential Information Questionnaire

Print and complete this form to provide us with personal, family and emergency contact information.

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Financial Policy

We offer several payment options for your convenience. This form contains important information regarding our financial policies and payment guidelines.

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Medical and Dental History Form

Print and complete the Medical and Dental History to provide us with information pertaining to your medical history and current medications.

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Receipt of Privacy Practices

Acknowledgement of receipt of Notice of Privacy Practices

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Get In Touch

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1995 Commercial St SE, Suite 200, Salem, OR 97302

BatemanPatient Info