Patient Forms & Info

Appointments
Appointments with our office must be reserved in advance and are confirmed one or two days prior to your visit. This time is reserved exclusively for you. We strive to be on time and appreciate your punctuality. There will be no charge for rescheduling an appointment provided that notice is given at least 24 hours in advance.

 

Financial Arrangements
Payment is due at time of service. We accept cash, personal checks, Mastercard, Visa, and Discover. We are happy to file your dental claims for you. Please note that your dental insurance policy is a contract between you and your insurance carrier, and that you are responsible for any balance that your insurance does not cover. Our office will be happy to assist you by providing pretreatment estimates and attempting to answer your insurance questions. While we cannot make any guarantees of coverage, our office will work with you to maximize your benefits.

 

Forms
For your convenience, we’ve included forms for you to download, complete, and bring in or mail to:

Port Ludlow Dentistry
9522 Oak Bay Rd Suite 400
Port Ludlow, WA 98365

New Patient Packet

Transfer of Records

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