NEW PATIENT INFORMATION & FORMS

Making Your Child’s Trip To The Dentist The Best It Can Be
Our office strives to provide quality dental care in a gentle, child-oriented environment. Read our patient information below.
We believe all of our patients, including infants, children, and adolescents, should be treated with respect and compassion. We believe in using patience and perseverance. Most children are capable of dental treatment without the use of sedatives or general anesthesia. Our team hopes to make our dentistry enriching and fun for kids.


When treating a child’s permanent tooth, our hope is to preserve as much healthy tooth structure as possible. When treating a child’s primary (baby) tooth, we try to restore it in a way that would minimize the need for further treatment of that tooth.
Our dentists make treatment decisions between the parent and the doctor as a mutual agreement. We want to positively impact a child’s dental experience and promote lifelong dental health.
New Patient Forms
Please download, print, fill out, and bring these forms with you to your child’s first appointment with our office.
*In the state of Washington, it is considered unlawful to audio or video record any party without full knowledge and consent given. No audio or video recording is allowed in our practice and failure to comply will result in dismissal from the practice.
Authorization For Release Of Records
If you are a new patient with Puget Sound Pediatric Dentistry, please print, fill out and bring the New Patient Authorization Release Form with you to your child’s first appointment. If you are an existing patient with our office and you need to send your dental records to another practice, please fill out the Authorization Release From Puget Sound Pediatric Dentistry.
Pay Your Bill Online
Puget Sound Pediatric Dentistry is proud to offer the convenient and efficient option to pay your dental bill online. With just a few clicks, you can pay your bill from comfort of your own home or on-the-go using our secure and user-friendly online payment system. Simply choose the location below where your child received treatment to get started.
