Patient forms

Forms

Please review and complete these forms before your visit. Download, fill them out, and bring them along or return them to us ahead of time. If you need help completing them, we are glad to assist.

Dental History Form

Your dental and medical background so we can care for you safely.

HIPAA & Text Consent

Our privacy notice and your consent to be contacted by text.

Medical Clearance

For patients whose physician needs to sign off before treatment.

Available soon

Prefer not to print? Bring your information and we will complete the forms with you at your first visit.

Questions about the forms?

Call us at 206-432-9954 or reach out and we will walk you through them.

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