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(425) 771-3266

patient forms

Complete Your Patient Forms

Online, Print, or At Our Office

For your convenience, Distinctive Dentistry offers three ways to complete your patient information.


Complete Your Patient Forms Online

Patient Information Form

We Offer Three Ways to Complete Your Patient Information Form

1. Online

We are pleased to offer you the convenience of completing and securely submitting your patient information online. Form can be completed from Smartphones, tablets, as well as computers.



2. Download, Print, and Bring In

You can also print the Patient Information Forms, complete and bring them in when you arrive for your appointment. Requires the free Adobe Acrobat Reader.



3. At Our Office

Of course, you can still complete your Patient Information Forms at our office. Please arrive at least 15 minutes early for your appointment, to allow time for you to complete the forms.



Patient Records Release Form

Do you need your dental records sent to your physician? Did you move out of state and need your records sent to your new dentist? Complete our Patient Records Release Form and we will be happy to send them.




Office Hours

Mondays: 2:00pm - 8:00pm
Tuesday - Thursday: 7:00am - 5:30pm
Fridays by appointment only

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From Patients

"I never have had a better dentist and the same is true with the entire team of professionals who work with Dr. Albert. I appreciate knowing that everyone there is trained in the latest techniques available and that Dr. Albert has state-of-the-art equipment to provide excellent dental care with beautiful results."

~ Diane B

Patient Forms

Disclaimer: Content on this site is to be viewed as educational only. In no way should content be construed as medical advice.

Distinctive Dentistry - 22315 Highway 99 N. Suite 1, Edmonds, WA 98026 | (425) 771-3266

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