Seattle, WA 98119
(206) 245 – 1693
(206) 245 – 1695 (fax)
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:
- Aetna www.aetnadental.com
- Cigna www.cigna.com
- Delta Dental of Washington www.deltadentalwa.com
- DenteMax www.dentemax.com
- Guardian www.guardiananytime.com
- Metlife www.metdental.com
- Premera/Blue Cross www.premera.com
- Regence/Blue Shield www.myregence.com
- United Concordia www.unitedconcordia.com
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 in full is due at the time of your service. For your convenience, we accept the following methods of payment:
- American Express
- Health Savings Account Cards
- Care Credit
Click on any form to download (it will load in a new window in your browser)
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 firstname.lastname@example.org
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.
|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|