Committed to Dental Excellence

23925 225th Wy SE Ste. A
Maple Valley, WA 98038
(425) 432-0561

Patient Forms

Patient Forms

Please take a minute to print and fill out the patient information forms before your first appointment:

  • Patient Information Form [PDF]
  • Patient Information Form (Child) [PDF]
  • Medical History Form [PDF]
  • Financial Policy [PDF]
  • Dental Insurance [PDF]
  • Privacy Practice [PDF]
  • Notice & Acknowledgement of Privacy Practices [PDF]

If you're unable to open PDF files, you can get Adobe Reader® for free.

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