New 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

Phone

360-734-2822

Hours

Mon - Thu: 8:00am - 5:00pm

Request Appointment

New Patient Forms

Evergreen Dentistry, 610 Dupont St, #129, Bellingham, WA 98225; 360-734-2822; evergreendentistry.net; 11/26/2022; Related Terms: dentist Bellingham WA;