Contact Information

945 Elliott Avenue West, Suite 210
Seattle, WA 98119
(206) 245 – 1693
(206) 245 – 1695 (fax)

Office hours

8:00 AM – 5:00 PM

Tuesday & Thursday
10:00 AM – 6:00 PM


We are happy to work with all patients, regardless of insurance status. Our doctors are in-network providers with the following dental insurance companies:

If you have a dental insurance not listed here, or if you do not currently have dental insurance, please call us at (206) 245-1693 to review your options.

Payment Policy

Payment in full is due at the time of your service. For your convenience, we accept the following methods of payment:

  • Cash
  • Mastercard
  • Visa
  • American Express
  • Discover
  • Health Savings Account Cards
  • Care Credit


Click on any form to download (it will load in a new window in your browser)

Patient Registration form

Patient Registration

click to open Health History form

Medical History

Click to open Financial Policy Consent form

Financial Policy

Click to open Privacy Practice and Consent form

Privacy Practice

Complete the form on your computer

  • After the file loads in your browser, save the file to your computer (e.g. your desktop).
  • Open the file you just saved and complete the form by typing into the required fields.
  • Then save the file and email it to

Please note: some browsers (e.g. Chrome) will not save information you type into the form. Please save the file to your computer before completing the form.

Complete the form by hand

Optionally, you can print the form and fill it in the required information by hand. Please bring the completed forms with you for your office visit.

Care Instructions

Alloderm Procedures What do to after Alloderm treatments
Endodontic Care What to do after Endodontic procedures
Extractions What to do after Extractions
Implants What to do after Implants
Periodontic Care What do do after Periodontic procedures

Additional Resources

Mouth Health (
Know Your Teeth (

American Dental Association (