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Helpful forms and resources for employees

Use the links below to download and print all of the forms and materials you may need for yourself or your employees. 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 you have received this completed form from your employees, please submit it to your Willamette Dental account manager. *The Member 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.

Notice of Privacy Practices
Willamette Dental and Affiliates Corporate Privacy Statement

Enrollment Guide*

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.

Locations Map



Provider List



Individual Plan Brochures

Oregon
Click here to review information about our individual plans for residents of Oregon.

Washington
Click here to review information about our individual plan for residents of Washington.

Idaho
Click here to review information about our individual plans for residents of Idaho.

 

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Headquarters
6950 NE Campus Way
Hillsboro, OR 97124

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