Patient Form

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Amin Taba, DDS is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring any dental X-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Fill up the new patient forms here

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

Location

5701 Northeast Bothell Way Suite 3, Kenmore, WA 98028

Phone: (425) 486-9233

Office Hours

MON 9:00 am - 4:00 pm

TUE - THU 7:30 am - 5:30 pm

FRI 9:00 am - 4:00 pm

SAT - SUN Closed

Get in Touch

Email: [email protected]

Call or Text Us: (425) 486-9233