13515 NE 175th Suite B • Woodinville, WA 98072
(800) SMILING • (800) 764-5464 • (425) 483-2442

Patient Forms

Patient Forms

Please take a minute to print and fill out the New Patient forms before your first appointment.

NEW PATIENT FORMS

» New Patient Information [PDF]
» Insurance and Financial Policy [PDF]
» Acknowledgement Of Receipt of Privacy Practices [PDF]
» Records Release [PDF]

ESTABLISHED PATIENT FORMS

» Patient Information Update [PDF]
» Instructions For IV Sedation [PDF]