Welcome to your neighborhood dental clinic!

Bothell Family Dental Care
Home
Our Office
Meet the Staff
Services
New Patient Forms
Contact Us
Bothell Family Dental Care
Home
Our Office
Meet the Staff
Services
New Patient Forms
Contact Us
More
  • Home
  • Our Office
  • Meet the Staff
  • Services
  • New Patient Forms
  • Contact Us

  • Home
  • Our Office
  • Meet the Staff
  • Services
  • New Patient Forms
  • Contact Us

New Patient Forms

For your convenience, below are downloadable New Patient Forms.  Please print and complete them prior to your first appointment. If you are unable to do so, please arrive 15 minutes prior to your scheduled time, and complete the forms in the office.

New Patient Information (pdf)Download
General Dentistry Informed Consent (pdf)Download
Medical and Dental History Form (pdf)Download
Notice of Privacy Practices (pdf)Download

Fillable PDF Forms

Fillable PDF forms to type your reponses. Please remember to save early and often and send the completed form to office@bothellfamilydentalcare.com. You may also print the typed form to sign and bring into the office.

Fillable New Patient Form (pdf)Download
Fillable Medical and Dental History Form (pdf)Download

New Patients

What to Expect

At Bothell Family Dental Care you can expect a partner in oral health care. And as a partner, we believe it is important to get to know one another. Our friendly and experienced staff will take the time to familiarize you with our office, understand your individual needs, and answer your questions. During your exam, we will thoroughly review your overall oral health and address any concerns you may have. From there, we will work with you to establish a course of treatment best suited to your needs. Should you have any insurance questions, our front desk staff will also help you determine your coverage and eligibility. We look forward to meeting you at your first appointment!

Policies

Payment
Our office accepts most insurance plans, and we will make every effort to help you determine the coverage available to you. A majority of insurance carriers will cover a certain percentage of treatment depending on the procedure. We are committed to assisting you in filing your claim and will handle insurance questions from our office on your behalf. If you have any questions regarding your insurance coverage, please contact us.


We also extend a 5% discount to seniors and offer 3 months interest-free financing for qualifying patients.


Cancellation Policy
Continuing care is an important part of your good health and we reserve your appointment time especially for you. If you are unable to make your scheduled appointment, we ask that you please provide us with 24-hours notice. 

Insurance Providers

We are in-network with most major PPO/indemnity insurance plans. If you have questions about your coverage, call our office at (425) 486-4428 to have our insurance expert answer all your dental insurance related questions.

Copyright © 2024 Bothell Family Dental Care - all rights reserved.

Phone: (425) 486-4428

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