PATIENT FORMS
Help us get to know you!
Please take a moment and fill out our patient information form. If you
have any questions along the way, feel free to contact our practice.
- Patient Form PDF
- Financial Guidelines PDF
- Acknowledgement of Receipt of Statement of Privacy Practices PDF
If you’re unable to open PDF files, you can
get Adobe Reader® for free.
We look forward to meeting you at your first appointment.
Accepted Dental Insurances



Seattle Met Top Dentist
What Sets Us Apart
- Only Blocks Away from Amazon
- Free Teeth Whitening for New Patients
- Same-Day CEREC Dental Crowns
- Invisalign Provider
- Seattle Met Top Dentist for 7 Years
- Free Invisalign Consultations
- Friendly, Relaxing Atmosphere for All Ages
- Technologically Advanced Dental Care
- Blankets & Pillows Provided During Treatment
- Most Comfortable & Efficient Dental Treatments
- Validated Parking at Pacific Place