(253) 529-5100

Mon-Thur: 8:00 - 5:00

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(253) 529-5100

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Patient Forms

Patient Forms

Please print out the forms below and fill out to bring in to your first appointment.Thank you and we are looking forward to seeing you soon.

Our forms are currently being updated. Thank you!

Financial Agreement

Federal Way Dentistry - Patient financial agreement form.

Privacy Practices (HIPAA) Agreement

HIPAA privacy agreement form.

Dental History Form

Patient dental history.

Patient Medical History

Patient overall medical history form.

Patient Registration Form

Federal Way Dentistry new patient registration form.