With the continued rise of COVID-19 infection rate in our state, Harbor Square Dental will close for a minimum of two weeks starting Tuesday March 17.  We are planning to reopen Wednesday April 1. We will reassess the situation as time goes on and decide if the reopen date needs to change for any reason, with the health of our patients and staff as our top priority. Patients who currently have appointments between March 17 and March 31 will be receiving a call from our office to reschedule their appointment. Based on the latest advice we have received from the Centers for Disease Control and Prevention about the coronavirus outbreak, we are now restricting treatment to urgent or emergency care only

Forms

When you call our office to make an appointment, we will ask you to provide patient registration details such as name and address, insurance information, etc. You can save time by printing and filling in these forms yourself. After you’ve completed the new patient forms, simply bring them with you on the day of your visit. Alternately, you can also fax them to us at 425-341-9662 prior to your dental appointment if you prefer. If you have any problems downloading the forms , be sure to call our office and we will gladly send them by mail, or fax them to you.

NOTE: Our office observes HIPAA Federal regulations that protect your privacy. We will never release any information about you without your written consent.

CALL TO MAKE AN APPOINTMENT TODAY

Edmonds Office Phone Number 425-778-7477

Technical Note:

Our registration forms are PDF document files. You must have the current Adobe Acrobat Reader (FREE) installed on your machine to view & print the forms.

Forms