Pacific NW Dentistry

Forms

 

For your convenience, we have made our forms available online.  This enable you to fill out the forms prior to your appointment; hence speeding up your check-in process.  We know and respect how valuable your time is.

 

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Dear New Patients,

Please fill this out at least a day prior to your first appointment.  This forms include a registration form, medical history, HIPAA, Financial Agreement, and Missed/Late Cancellation.

https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=18595&WSDID=40084&NFID=40065&NFID=25555&NFID=25556&NFID=25557

 

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Dear Existing patients,

Please fill out an updated medical history form at least once a year or if you have any changes in your medical history.

https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=18595&WSDID=40066

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Dear Patients,

Due to the covid-19 outbreak, we are requiring you to fill out a prescreening form to determine whether you are well enough to see us.  Our priority will always be our patients and teams safety.  Please fill this out the day before your scheduled appointment.

https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=18595&WSDID=40018

 

 

We look forward to seeing you again.

 

Sincerely,

Pacific NW Dentistry