SEATTLE

PUYALLUP

DES MOINES

BOTHELL

New Patient Information

PATIENT FORMS

Girl with a Toothbrush

Save Time At Your Dental Appointment

Save time at your first dental appointment with Little Pearls Kids Dentistry & Orthodontics by filling out our new patient forms previous to your visit. Please remember to bring your ID and insurance card with you. If you have any questions on our forms or would like to speak to one of our dentists, please select the location you'll be visiting: Seattle Queen Anne, Puyallup, Des Moines or Bothell and give us a call!

Seattle, Puyallup & Des Moines Patient Forms

Please print, fill out and bring with you to your appointment.

Patient History

Informed Consent

Financial Policy

Bothell Patient Forms

Please print, fill out and bring with you to your appointment.

Patient History

Informed Consent

Financial Policy

Excited Kid

FREE CONSULTS

Free orthodontic
consults for all ages

Make an appointment today

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