Evergreen Dentistry - New Patient Forms - Bellingham, WA - Patient Forms Please download and complete the New Patient forms before your

Patient Forms

Please download and complete the New Patient forms before your first visit. If you have any questions, please give us a call.
Note: You will need Adobe Acrobat Reader to download and view these forms. Download your free version here.

• Adult Health History Form
• Consent Form
• Financial Policy Form
• Insurance Agreement Form
• Privacy Policy Form
• Acknowledgement of Privacy Practices Form
• Medical History Form - Kids 16 & Under

Evergreen Dentistry

Dr. Laura Howrey
610 Dupont Street, Suite 129
Bellingham, WA 98225
P: (360) 734-2822
F: (360) 734-5739
evergreendentistry@hotmail.com

We Are Accepting New Patients

Office Business Hours
Monday - Thursday 8:00am - 5:00pm
Closed for lunch 12pm - 1pm

Evergreen Dentistry | www.evergreendentistry.net | 360-734-2822
610 Dupont St, #129, Bellingham, WA 98225