Tukwila Dentist Office - Patient Registration Forms

If you are a first time patient, filling out these forms before your visit can expedite the process. To complete these forms:

1. Select the form to complete
2. Print the form
3. Complete the form
4. Bring it with you to your appointment

New Patients are asked to complete all forms below

Patient Registration.pdf

Patient Health and Medication Form.pdf

Medical History

Privacy Acknowledgement.pdf

Dental History

Statement of Privacy Practices.pdf