PATIENT FORMS

Theron Baker DDS Patient Forms for New Patients

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.

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

*Please fill out forms before coming to your appointment in order to help save time and keep in-office interactions minimal as a COVID safety measure.

We look forward to meeting you at your first appointment.

Accepted Dental Insurances

Health Insurance by Delta Dental Regence Blueshield Washington Dental Service  

Seattle Met Top Dentist

Top Dentist of year

seattle met top dentist 2013 seattle met top dentist 2014 seattle met top dentist 2015

seattle met top dentist 2016 seattle met top dentist 2017 seattle met top dentist 2018

seattle met top dentist 2019 Top Dentist 2020 Badge seattle met top dentist 2021

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 9 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
  • Botox® Cosmetic Injections

Request Appointment

Fill out the information below and we’ll contact you to finalize the details of your appointment.