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Please fill out the following form to book an appointment.  In the Message box, include your phone number, the reason for your visit, and your preferred appointment times. We will contact you within 1 business day. If you would like immediate assistance during our business hours, please call us at 253.852.7910.

 


Your Name:
Phone:
Email Address:
Message:

 

New Patient Forms

If you like, you may download these forms, fill them out, and fax them to us at 253-859-2131 prior to your appointment.  This allows you to fill them out during your free time and allows us to devote more of your appointment time towards your clinical needs.

 


Patient Information Form

Click on the image below to download the Patient Information Form.

Medical History Form

Click on the image below to download the Medical History Form.

If you cannot open these files, you may need to download the free program Adobe Acrobat Reader



 


 
   
         
 

Covington Dentist, Dentists

Family Dentistry

 

Family Dentist, Dentists serving

Covington Washington WA

and the surrounding areas.

 

   
         
  Implants, Cosmetics, Veneers.

Auburn, Renton, Kent,

Des Moines, Tukwila, Burien,

Federal Way, Maple Valley,

Washington, WA areas.