Patient Forms
Click on the attachment titles below for the corresponding form you would like to download.
- Patient Information Form
- Financial Agreement Form
- Acknowledgement of Receipt of Statement of Privacy Practices
Please download form, print and fill it out. You may then simply mail it to us. You can also fax it to us at 206-467-7582 prior to your dental appointment if you prefer.
If you have any problems with downloading the form, please call our office and we will send them to you via mail or fax.
