New Patient Forms
Please download and fill out the forms below and bring them with you to your first visit.
Free Acrobat Reader is needed to view the forms. You can download it here.
Pacific Coast Dentist accepts most PPO insurance plans. Please call our office at (425) 641-2960 to verify your insurance coverage.
Payment Methods Accepted
We accept cash, checks, and major credit cards: Visa, Master, American Express and Discover.
Patient Offers and Discounts
- 10% discount for cash-paying patients as well as for senior citizens and military veterans.
- New Patient Offer : $79 which includes a dental exam, cleaning, X-ray, oral cancer screening.
- $500 off Invisalign treatment (in absence of gum disease)
In addition to English, we speak Hindi, Punjabi, Spanish