Use the links below to download and print all of the forms and materials you may need for yourself or your clients. If you have further questions or would like to request printed materials, please click here to find contact information for the sales team in your geographic location.
Member Enrollment Application and Change of Information Form
The Willamette Dental Group Member Enrollment Application and Change of Information Form allows members to enroll themselves and their family members in the Willamette Dental Group plan as well as change information regarding their enrollment. Once members have completed this form, please submit to their human resources administrator.
- Oregon Enrollment Application
- Oregon Enrollment Application (Spanish)
- Washington Enrollment Application
- Washington Enrollment Application (Spanish)
- Idaho Enrollment Application
- Idaho Enrollment Application (Spanish)
*The Enrollment Application and Change of Information Form is intended for Willamette Dental plan members that are provided dental care coverage through their employers’ dental benefits plan. For information regarding individual & family plans, please click here.
The Willamette Dental Group Underwriting Guidelines outline our underwriting requirements for sales of our group dental insurance plans.
Notice of Privacy Practices
Willamette Dental and Affiliates Corporate Privacy Statement
The Willamette Dental Group enrollment guide provides you with all the information you need to know about our dental plan, including our proactive dental care approach, locations, implant services, orthodontia and much more.
*This enrollment guide is intended for Willamette Dental Group plan members that are provided dental care coverage through their employers’ dental benefits plan. For information regarding individual & family plans, please click here.
Individual Plan Brochures
Click here to review information about our individual plans.