Dr. Andreea Larhs, DDS PS 
Appointments: 206.292.9900 
downtown_seattle  

To allow us to get acquainted with you, we have a series of medical and dental forms that need to be completed prior to your first visit.

These forms have been made available for print below. To speed up the check-in process, please complete your forms prior to your appointment. If you prefer to fill out your forms here in our office, we ask that you arrive at least 15 minutes prior to your scheduled appointment time.


Personal Information & Dental History (2 pgs)

Medical History (1 pg)

HIPAA Acknowledgement (1 pg)

HIPAA Notice of Privacy Practices (This is for your records only. You are not required to print this form.)

In order to view or print these forms you will need Adobe Acrobat Reader installed. If you don't already have it, Click here to download it.




 

 
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