Our Office
Meet The Doctors
Meet The Staff
Video Testimonals
Advanced Technology
Contact Us
Request An Appointment
Patient Forms
Patient Reviews
Payments & Financing
Topics Of Interest
LANAP Laser Treatment
Cosmetic Services
Periodontal Services
Preventive Services
Gum Disease
TMJ Treatment
Smile Makeovers
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What Is A Dental Implant?
Implant Placement
Single Tooth Implants
Multiple Tooth Implants
Full Arch Implants
All-On-4 Teeth In A Day
Bone Augmentation
Ridge Preservation
Sinus Lift
Implant FAQs
What Is Sedation Dentistry?
IV Sedation
Nitrous Oxide Sedation
Sedation
Sedation FAQs
Referring Doctors
Patient Referral Form
Seattle Study Club

Patient Forms

To continue making your dental experience pleasant, we have conveniently provided our registration forms below so that you may fill them out in the comfort of your home.

Please click on the links below to complete your patient information, medical history, and dental history forms, as well as the HIPAA acknowledgement form. Be sure to click “submit form” at the bottom of each page to have the forms securely e-mailed to us.

Patient Information

Medical History

Dental History

Notice of HIPAA

Acknowledgment of Receipt (HIPAA)
(Please print and either fax or email to us)

Release of Records
(This form is for existing patients only)