Become a Patient
Dr. Boldt looks forward to having you join Boldt Dental’s host of satisfied patients. Dr. Boldt has a schedule tailored for your convenience at our dental office in Medford, Oregon. To schedule an appointment with the dentist, please call (541) 772-2756 or use our online appointment request form.
Once you have made your initial appointment, you can pre-register by clicking on the links for New Patient Forms below. Our interactive forms are secure to protect your privacy. Simply complete the information and submit. As an alternative, you may download, print, and complete the forms prior to your arrival. This well help to speed up the new patient registration process and get you in to see the dentist faster!
Interactive Forms:
Downloadable Forms:
Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat free by clicking on the icon below.
If you register online, all of your information is transmitted securely and is held in strictest confidence, adhering to HIPAA Guidelines and protecting your privacy. You will need to print out a copy of the Privacy Policy, sign it, and bring it to your office visit.