Now accepting Telehealth appointments. Schedule a virtual visit.

Patient Forms

Smile & Co. At The Landing Contents Patient Forms

 

Patient Forms

Downloadable Forms

Welcome Letter

HIPAA Privacy

New Patient Form

Release of Records

Financial Agreement

Medical History

Dental History

TMJ Questionnaire

 

Fillable Forms

Welcome Letter

HIPAA Privacy

New Patient Form

Release of Records

Financial Agreement

Medical History

Dental History

TMJ Questionnaire

What we offer

Services

 
Location
Smile & Co. At The Landing
1002 Park Avenue North, Suite K
Renton, WA 98057
Phone: 425-202-6475
Fax: 425-228-6806
Office Hours

Get in touch

425-202-6475