Patient Forms


Thank you for scheduling your first appointment with Fountain Valley Dental!

Please click on the link below to print and fill out our New Patient Welcome Packet. Completing these simple forms in advance and bringing them with you to your appointment could save you extra time and hassle when you arrive.

New Patient Welcome Packet

We look forward to seeing you!

-Fountain Valley Dental team

Contact Us



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Our Location
FOUNTAIN VALLEY DENTAL
Dr. Benjamin Whitted
1400 Fountain Way
Molalla OR 97038
Call: 503.759.3333