North Richland Dental North Richland Dental HomepageAbout UsServicesHours and LocationDental LinksPatient Forms Welcome to North Richland Dental

If you would like to become a patient and fill the forms out in advance, you can print out the following forms (requires Adobe Reader ) then bring them with you to your first appointment. Of course, if it's more convenient for you, you can also "mail it, fax it, or drop it off" at the office upon completion. You can fax your forms to us at 509.943.5050. Welcome...We look forward to meeting you!

PDF Forms
You will need to save, print and fill out each of the following files:
(1) Form: Registration
(2) Form: Medical History
(3) Form: Consent for Use and Disclosure of Health Information

Having trouble viewing the files? Click the button below to download Adobe Reader.