On-Line Registration forms
This completely secure, encrypted and confidential form is sent directly to our office. You can use the Tab button to quickly move to the next field.  Make sure to sign each document and click on Submit once when you're finished.

PLEASE NOTE: We are accepting new patients, however our first availability is usually 1-2 months out unless you have an emergency. Please call us if you have an urgent need.

Print PDF New Patient Registration
If you prefer, you may download, fill out and fax this form to  (425)837-0636 or bring it with you to your first appointment. If you do not have Adobe Acrobat, click on the button below.



Fill out as much information as you feel comfortable with and we will contact you as soon as we receive your submission.

If you have any questions please call us at 425.837.0634 or e-mail us at frontoffice@issaquahdentalarts.com.