New Patient Information

Forms, what to bring, and how to get started

Welcome

We are currently accepting new patients. Please note that we do all of our new patient intake and scheduling over the phone, so when you are ready, give us a call at 206-402-3402 or contact us online.

New patient forms

Download and complete the forms below. If you have questions, our team can help when you call to schedule.

New patient forms

Health history, HIPAA, and release of records (PDF)

Download PDF

Intake forms

Patient intake (PDF)

Download PDF

Release of Records Form

Release of records form (PDF)

Download PDF

What to bring to your first appointment

  1. Completed Health History Form

    Bring a printed copy of your completed health history form, or submit it as directed when you speak with our office.

  2. HIPAA Form

    Bring your signed HIPAA-related paperwork as provided by our team.

  3. Release of Records

    If you are transferring from another dental office, bring a completed release of records form so we can request your prior records.

  4. Insurance information, if applicable

    Bring your insurance card and any subscriber or group information so we can verify your benefits.