From Patients

“Your staff is absolutely wonderful! Everyone at your office is so friendly and professional. You all helped make Makenzie’s first dental experience a great one. She can’t wait to come back. Thank you!!!”
~ Brent Kooy

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Complete Your Patient Forms Online

We are pleased to offer you the convenience of completing and securely submitting your paperwork online. From your computer, please complete your patient forms below and submit them securely online. Please allow a few seconds for the forms to load.  If you experience any problems, please install the latest version of the free Adobe Acrobat Reader. The Acrobat Reader plugin is required for the online form submission to work properly.

Please Complete and Submit Both of these Forms

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Patient Records Release Form

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Make an appointment online or call Distinctive Dentistry at (425) 771-3266.