Puyallup Valley Dental Care

Our Service Your Smile

Patient Forms

patient forms

Help us get to know you!

Please take a moment and fill out our secure online patient information form. If you have any questions along the way, feel free to contact our office. It is not necessary to print this form as it will be digitally submitted to our team.

Please read the following documents before starting the online registration process. You will be required to check a box that indicates you have read and understand all documents prior to submitting your form.

Patient Registration

  • Step 1  - What to expect at your first appointment
  • Step 2  - Office Guidelines
  • Step 3  - HIPAA Notice of Privacy Practices
  • Final Step  - Secure Online Form

Please fill out the secure registration and health history form. The form must be completed by the patient, unless the patient is a minor.

We look forward to meeting you at your first appointment.

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