West Seattle

2743 California Ave. SW #200
Seattle WA 98116

(206) 519-5337

Federal Way

2505 S 320th St. #330
Federal Way, WA 98003

(206) 400-0800

Eastlake

2731 Eastlake Avenue East
Seattle, WA 98102

(206) 329-0410

Patient Forms

New Patient Forms

Help us get to know you!

Please take a moment and fill out our patient intake form. If you have any questions along the way, feel free to contact our practice.

Online New Patient Registration

Our online Patient Registration is secure and HIPAA compliant with the data encrypted for your protection. The safety of your electronic data is very important to us.

Download/Print New Patient Forms

If you would prefer to download and print our new patient forms and fill them out before your first visit, please use the pdf's 

» New Patient Intake Forms

» Statement of Privacy Practices

» Acknowledgement of Receipt of Statement of Privacy Practices

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

If you would prefer to fill out your forms at our practice please arrive 20 minutes early in order to complete them.

We look forward to meeting you at your first appointment.

Post Operative Instructions

On the day of your surgery, we will go over all post operative instructions with you, so you will know what your limits are.  You will also get these same instructions on paper. 

If you misplace the instructions, you can print them from the documents below.

» Post-op Instructions

» Pre-op Instructions

» Palatal Stent Instructions for Tissue grafts