Patient Forms

If you are a new patient, welcome! We have placed our new patient forms online so that you can fill them out at your convenience and save you the time of completing them in the dental office.

Please follow the instructions below.


1) Please click on one of the four “New Patient Forms” listed below.

2) When the form opens up, click on “File” located at the top left of your screen.

3) Select “Print”.

4) The form will print on your printer.

5) Repeat steps 1-3 for the other three forms.

6) Fill out the forms and bring them with you to your first appointment.

7) If you have any questions or concerns please contact us at (253) 835-2296.

New Patient Forms:

1) Patient Registration Form

2) Health History Form

3) Dental History Form

4) Financial Arrangements

5) Privacy Policy


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