new patient forms

Please prepare for your first appointment by completing our new patient information forms. Download the forms to your computer, fill them out, and email them back to info@brushseattle.com. We ask that you email the forms back 48 hours before your scheduled appointment.

MEDICAL HISTORY

MEDICAL HISTORY

In order for the best care and treatment for you, we need to know a little bit more about you and your medical history. Please fill out this form before your appointment…

DENTAL HISTORY

DENTAL HISTORY

The history of your teeth will go a long way for how we diagnose, treat, and keep you healthy for years to come. Please fill out this form for your appointment…

CONFIDENTIAL INFO

CONFIDENTIAL INFO

Just want to make sure that you are you. This form is about you, your insurance, and any other miscellaneous details that we might need. Please fill it out…

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