Request an Appointment

Life can be hectic, especially trying to fit everything in between school and work. Puget Sound Pediatric Dentistry understands that setting up an appointment to see the dentist can seem overwhelming! Simply fill out the appointment request form below, and one of our schedulers will be in touch. Contact our office if you have any questions. We are here for you! We are accepting new patients from age one through adulthood.

Lets Start Your Childs Journey

Patient First Name *
Patient Last Name *
Guardian First Name *
Guardian Last Name *
Email *
Phone *
Preferred Location *
Has your child been to the dentist before? *
When was your child's last visit to the dentist? *
Are You A New Patient? *
How did you hear about us? *
What are your concerns/issues?