Dr. Jayne and his team of dental professionals are dedicated to making your dental appointments as comfortable and efficient as possible. Prior to performing dental implants, porcelain veneers or any other procedure, they will need to evaluate your oral and overall health. Please use the provided forms to provide them with the necessary information.
Select the office form you want [right hand column]. A form will open. Once you have printed the form select your back button.
The office forms are in Adobe Acrobat PDF format. You will need Adobe Acrobat Reader to view the file. The file is printable.
If you do not have Acrobat Reader click on the Acrobat Reader icon below.
As one of the most sought-after cosmetic dentists in Bellevue and Seattle, Dr. Jayne is proud to offer his patients comprehensive, high quality care. He personally meets with patients interested in a smile makeover, teeth reshaping and / or BriteSmile whitening in Seattle to evaluate their health and determine if they are candidates for these procedures.
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I am a first time visitor. What forms will I need to fill out? What information will I need to know to make my initial visit as productive as possible?
The forms below can be printed and filled out prior to your visit and brought with you; or, you can fax the forms to our office before your visit.
Health History
Patient Information
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