Patient Information/ Forms

Our practice is committed to providing you and your family with safe, gentle, high-quality dental care. We understand that you, or your child, may feel anxious about visiting the dentist. We are sensitive to your needs, and it is our goal to make you feel comfortable visiting our practice while providing the best care possible.

dental office visits

Your first visit is all about you – your comfort, your happiness, and your health.

During your first visit, we will review your dental and medical history forms, and take X-rays of your teeth and mouth. Then, the doctor will meet with you to discuss your X-rays, help you create your own individual treatment plan, and answer any questions that you may have. At your next visit, one of our hygienists will clean and polish your teeth, checking your teeth and gums for any cavities or early signs of tooth decay or gingivitis.

Bring your smile, but also remember to bring these with you to your first appointment:

  • Your completed patient information form
  • Your insurance card

Regular checkups are an important part of maintaining a healthy smile!

The American Dental Association recommends visiting your dentist every six months for regular checkups and routine teeth cleanings to keep your teeth and gums healthy.

We understand that you have a busy schedule, so when you're preparing to visit the dentist, please remember that your appointments can last between 45 and 90 minutes.

Patient Forms

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

patient forms

  • Financial Policy PDF
  • HIPAA Acknowledgment PDF
  • Notice of Privacy Practices PDF
  • Request for Records PDF
  • Patient Medical History Page 1 | Page 2

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

Payment Options

We accept all major credit cards and cash for payment. We also offer a Quality Dental Membership plan for patients who do not have insurance.

payment icons quality dental plan membership seattle

Dental Insurance

We accept any dental insurance as long as your policy allows you to see any dentist.

We are preferred in-network providers for:

  • Premera
  • Regence
  • CIGNA
  • Aetna
  • Connect / GEHA
  • United Concordia
  • Delta Dental (premier provider)

For dental insurances not listed above, we would be considered an out-of-network dentist for these plans. If you are out-of-network we are more than happy to assist you in submitting claims to your dental insurance for reimbursement for your treatment with us.

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

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Contact Us

Schedule an Appointment

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Why Choose Us

  • Discount Dental Membership Plan
  • Premier Insurance Accepted
    INCLUDING DELTA DENTAL, AETNA & CIGNA
  • State-of-Art Dental Care Digital Charting Diagnosis
  • In-network for major local corporations like Amazon & Microsoft
  • Treatment Planning
  • Invisalign Provider
  • On-Time Appointments
  • Quick, Convenient Lunch-Time Appointments
  • Personalized Dental Care
  • Treatment for Adults, Teens, Kids
  • Family-Friendly Atmosphere
  • Seattle Met 2014-2017 Top Dentist
  • America's Best Dentists 2015-2017
  • Watch Cable TV During Treatment

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Affordable, Convenient Payment Plans

Convenient Payment Options

VisaMasterCardAMEXCashDiscover Quality Dental Plan

We do not accept Apple Health or DSHS