Patient Resources

Contact & Office Hours

Wells Fargo Center
999 Third Ave Plaza 18
Seattle WA 98104

(206) 343-8929
(206) 343-9934 (fax)
team@gateway.dental

OFFICE HOURS
Monday – Friday
7:00 AM – 4:00 PM

Insurance & Payments

We work with most dental insurance plans. Please call us to check on your specific plan.

Payment is required at the time of service. Accepted methods of payment include cash, personal check, Visa, Mastercard, and American Express. We also accept Health Savings Account payment cards and CareCredit. For more information visit the CareCredit website: http://www.carecredit.com/.

Forms

FILL OUT THE FORM ON YOUR COMPUTER

Save the file to your computer and complete the form by filling out the required fields. Then save the file and email to team@gatewaydentalcentre.com.
Some browsers (e.g. Chrome) will not save information you type into the form. Please save the file to your computer before completing the form.

FILL OUT THE FORM BY HAND

Optionally, you can print the form and fill it in the required information by hand. Please bring the completed forms with you for your office visit.

Click any form below to download:

Patient Registration

Patient Registration Form

Medical History

Medical History Form

Child’s Health History

Child Health History

Request Records

Request Records

Release Records

Request Records

Care Instructions

Helpful Links