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.

We look forward to meeting you at your first appointment.

Accepted Dental Insurances

Health Insurance by Delta Dental Regence Blueshield Washington Dental Service

We do not accept DSHS, Apple Health, Provider One or Molina insurance.

Seattle Met Top Dentist

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Certified Invisalign® Provider

Show off your best smile without the hassle and pain of traditional wire braces!

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Preferred Delta Dental Dentist

We are an in-network dentist for Delta Dental insurance. Schedule your appointment today!

More Information

Same-Day CEREC Crowns

Get same day dental restorations including dental crowns with CEREC. Restore your smile in a single office visit!

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What Sets Us Apart

  • Only Blocks Away from Amazon
  • In-Network with Amazon Dental Insurance
  • Same-Day CEREC Dental Crowns
  • Invisalign Provider
  • Seattle Met Top Dentist for 6 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

Request Appointment

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