Patient Forms | East Wenatchee WA Dentist

(509) 886-8833

790 Grant Rd, East Wenatchee, WA 98802-5429

790 Grant Road, East Wenatchee, WA 98802 (509) 886-8833

New Patient Forms

Office interior at Johnson Family Dental

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our East Wenatchee dental office and we will gladly send or fax them to you.

Printable Forms
(Print, fill-out at home, and bring to your appointment)

•	Patient Information - Page 1
•	Patient Registration - Page 2
•	Health History
•	Financial Policy
•	HIPAA Privacy Policy

Download Adobe Acrobat Reader Now

Johnson Family Dental

Dr. Johnson

(509) 886-8833

790 Grant Rd
East Wenatchee, WA 98802-5429

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New Patient Forms

Patient Forms | East Wenatchee WA Dentist | Johnson Family Dental
We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.
Johnson Family Dental, 790 Grant Road, East Wenatchee, WA 98802; (509) 886-8833; wenatcheevalleysmiles.com; 5/11/2022; Key Phrases: dentist East Wenatchee WA; dentist East Wenatchee WA;