Welcome to Uptown Dental!

Your First Visit

When you join our practice, we like to begin with a complete dental examination. This initial appointment will be spent discussing your dental history, creating a treatment plan and getting to know you before we schedule you for any other services such as hygiene or restorative care. The dentist will recommend what kind of hygiene treatment is appropriate. Your first visit with our hygiene staff will be a separate appointment.

Payment for services

We request payment in full at the time of service. In appreciation of your prompt account settlement we offer a 5% discount for payment by cash, check, Visa or MasterCard. We are also happy to bill your dental insurance company for you once you become an established patient. Please bring any special claim forms along with other insurance information to your first appointment.

Failed appointments

If it becomes necessary to cancel an appointment, we ask that you notify us at least 24 hours in advance. Confirmation calls are made one to three days before your appointment and we are happy to contact you at your most convenient number. Failed appointments are costly to a practice as this time has been saved specifically for you; therefore, our policy is to charge for missed appointments.

New Patient Forms

Should you decide to choose our office for your dental care needs, please call us at 360-385-4700 and ask for Anna, or e-mail mailto:records.uptowndentalpt@olympus.net to set up your initial exam.

It is very helpful for us to have your treatment records and x-rays that are up to 10 years old from your previous dentist. We ask that you please send the Records Release form to your previous dentist in advance of your initial exam appointment so that we will have your records in our possession when you arrive. Please also bring the completed New Patient Health History form to your initial exam appointment.

To print the new patient forms, simply click the links below to open them and choose "Print" from the File Menu.

New Patient Health History Form (Adult)

New Patient Health History Form (Child)

Records Request Form (use this form to have your records transferred to us from your previous dentist)

Records Release Form (use this form to have us release the records we have to a new dentist that you are transferring to)


If you are unable to print the above forms, just ask for the forms to be mailed to you when you set up your initial exam.

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