Call 541-267-6425
to Schedule an Appointment!

Patient Forms


Welcome to Dr. Lori Lemire Family Dentistry in Coos Bay! We are excited to have you as our new patient and will do everything possible to make sure each dental visit is comfortable.

To help your first appointment go more smoothly, we ask that you print out our New Patient Forms and bring it with you on your scheduled visit. Simply click the link below, print the pages, fill them out and bring them with you.

New Patient Information

Notice of Privacy Practices

Office Policies

*If your computer doesn’t already have Adobe Reader installed, you will first need to install the Adobe Reader in order to view and download the PDF file. You can then print these forms on your desktop printer.

Contact Us

470 Highland Avenue
Coos Bay, OR 97420
Phone: 541-267-6425

Our Hours

Monday 8am-5pm
Tuesday 8am-5pm
Wednesday 8am-5pm
Thursday 8am-5pm
Our office is closed for lunch every day from noon-1:00pm

Call Now