Patient Forms
Access and complete our forms to save time during your visit
New Patient Forms
Complete your new patient forms securely online before your child's first visit to our office after you call us to set up your New Patient Appointment.
Save Time at Your Appointment
By completing your forms ahead of time, you'll spend less time in our waiting room and more time with our dental team.
Secure and Confidential
Our online forms use secure encryption to protect your personal information and comply with privacy regulations.
Easy to Complete
Our forms are designed to be user-friendly and can be completed on any device with an internet connection.
For Referring Providers
Information and resources for healthcare providers who refer patients to our practice.
Streamlined Referral Process
Our online referral system makes it easy to refer patients to our specialized pediatric dental care.
HIPAA Compliant
Patient information is transferred securely in compliance with all privacy regulations.
Prompt Follow-up
We prioritize communication with referring providers to ensure continuity of care.
Need Help With Forms?
If you have any questions or need assistance with our forms, our team is here to help.
Call Our Office
Our friendly staff is available to assist you by phone during regular office hours.
Call 425-486-6300Email Us
Send us an email with your questions, and we'll respond promptly.
info@bothellpediatricdentistry.com