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On-Line Forms for Your Convenience

The following Patient Forms can be printed from your computer and filled out at your leisure before your first appointment. 

Please bring in a Patient Registration Form, Medical History, HIPPA Form and Financial Policy for each patient.  If you have records at another dentist, please fill out and send the patient record request to them so that we will have that information at your first appointment.

If you have any questions, please do not hesitate to give us a call:

(509) 735-9548 

  Patient Registration

  Medical history

  HIPPA form

  Notice of Privacy Practices

  Financial Policy

  Patient Record Request Form

 

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.