
Fill Out
Health History Form
Please take a few minutes to fill out this confidential form, click the “Submit Form” button at the bottom, and your information will be sent to our office with secure encryption. Thank you!
Roseburg
info@lemertorthodontics.com
(541) 673-0924
Hours
Mon – Fri:
7:45am – 4:30pm
Sat & Sun:
Closed
*Lunch from 12:30pm-1:30pm
Coos Bay/North Bend
info@lemertorthodontics.com
(541) 267-3060
Hours
Mon – Thurs:
7:45am – 4:30pm
Fri – Sun:
Closed
*Lunch from 12:30pm-1:30pm