Patient Forms


 

Patient

Forms



It is easy to make an appointment for your initial examination and dental treatments. Call 425-746-6090 to speak with a staff member and you can download the New Patient Form by clicking below.


Our New Patient Form also includes Office Policies and Privacy Practices.

NEW PATIENT FORM

PRIVACY ACKNOWLEDGEMENT

Location
EZ Dental Clinic
1130 140th Ave. NE, Suite 100B
Bellevue, WA 98005
Phone: 425-746-6090
Fax: 425-747-9856
Office Hours

Get in touch

425-746-6090