Contact & Office Hours
Wells Fargo Center
999 Third Ave Plaza 18
Seattle WA 98104
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/.
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 firstname.lastname@example.org.
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:
|Dental Implants||What to Expect Following Your Dental Implants Procedure|
|Dentures & Partial Dentures||Home Care Instructions for Dentures and Partial Dentures|
|Endodontic Surgery||What to Expect Following Your Endodontic Surgery|
|Periodontal Surgery||What to Expect Following Your Periodontal Surgery|
|Scaling & Root Planing||What to Expect Following Your Scaling & Root Planing Procedure|
|Sinus Grafting||What to Expect Following Your Sinus Grafting Procedure|
|Tooth Extraction||What to Expect Following Your Tooth Extraction|
|ZOOM® Whitening||ZOOM® Whitening Post Treatment Instructions|