Click below for the appropriate form to download and fill out before your first appointment!
Patient Health History Form | Patient Privacy Form | Patient X-Ray Form | HIPPA Privacy Form
Mellum Family Dentistry
Nicholas R. Mellum - D.M.D., P.C
503-283-2553 | drsmellum@comcast.net
5610 N. Lombard St., Portland, OR 97203
503-283-2553 | drsmellum@comcast.net
5610 N. Lombard St., Portland, OR 97203