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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






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



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We Are Accepting New Patients

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

Home  | Our Practice  | Meet Our Team  | Dental Services  | Insurance & Financial Options  | Contact Us  | Patient Resources  | Patient Reviews  | Preventive Care  | Cosmetic Dentistry  | New Patient Forms




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



 

 

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