Bellevue Impressions Dentistry
Personalized Dentistry For Your Smile
BELLEVUE OFFICE: 425-746-8676

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New Patient Forms


At Bellevue Impressions Dentistry we always welcome new patients. Please download, fill out, and bring the patient form with you on your appointment day.

Patient Registration Medical History Form

HIPPA Acknowledgement Form

Statement of Privacy Practices

Office Policies

Credit Card Information Form




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1811 156th Ave NE, Suite #1, Bellevue, WA 98007 | Call: 425-746-8676
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