Patient Registration

Patient Registration

Welcome to 
Pineview Aesthetic and Family Dentistry 

Welcome to Pineview Aesthetic and Family Dentistry

Our practice strives for efficiency and work to find the most appropriate schedule that will not disrupt your daily routines. For your convenience, we have provided a Patient Registration form on our website. You may pre-register and set an appointment with our office by completing the requirements on the online form. Please make sure you fill out all fields before submitting it to us. You may also sign the form when you visit our office on your first appointment. We also recommend that you provide the necessary documents such as medical files, prescriptions, or previous dental records upon your visit.

We guarantee your information is in good hands. Our office has taken security and privacy measures to great extents to keep your personal data safe.

Technical Note:

For PC Users
We use Adobe Acrobat Reader 5 or greater plug-ins for convenient submissions and file compatibility with our Patient Registration forms. Using at least version 5 of the plug-in can help you download, view, and fill out our online form more easily. If you do not have the same program to run the file in your system, please download the free plug-in from Adobe’s website.

For Mac Users
You can open, fill out, and submit our online form using a Safari Browser—you should also have the latest Mac operating system to run the file. We also recommend using the latest version of Adobe Acrobat Reader for convenient submissions and file compatibility. If you do not have the latest version in your system, you can download and use the free plug-in from Adobe’s website.

For more information, please feel free to call us at (425) 641-3668. One of our staff members will be more than happy to answer any of your questions and assist with your appointment.
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