Patient Registration

Online Patient Registration Portal

To register securely online for your first appointment with A Dental & Denture, please use our:

online portal

Downloadable Patient Forms

Our New Patient forms are provided below for your convenience. Download and print the forms you need. To reduce waiting time in the office, please complete the forms at home and bring them to our office at your appointment.

  • Patient Registration Form. Includes Patient Information, Medical History and HIPAA Privacy Policy and Acknowledgement forms.

Please use our Contact Us form below or call our office if you have any questions: Seattle Office Phone Number 206-440-1500.

Contact Us Today

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. If you are an existing patient, this contact form should not be utilized for communicating private health information.
  • Privacy Policy

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