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We are pleased to offer our New Patient forms online.  Simply click on the link below to download the form, print it out, and bring it completed to your first appointment.

Patient Information Form

The forms above require Adobe Acrobat Reader to view.  If you do not have Acrobat Reader on your computer, click below for a free download.


601 S. Carr Rd Ste 400  •  Renton, WA  98055 
425-271-3500
  •  fax 425-271-5162

Email: dentist@smilerenton.com