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(425) 771-3266

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.

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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.

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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.

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Office Hours

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

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From Patients

“I am as happy as I could possibly be with all aspects of my experience with the full staff at Distinctive Dentistry. From my initial phone conversation with Ashley, to my testing with Marcia, and my exam and discussion with Dr. Albert, I was treated with compassion and respect. Procedures and options were fully explained and the full staff completely exemplifies the highest level of care and concern for patients. This staff and facility has my highest recommendation.”

~ Deborah G

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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