New Patient Forms

Please take a moment to download and fill out our patient information form, then print them and bring them with you to your first appointment. If you have any questions along the way, feel free to call our office and we will be happy to assist you.

ADULT REGISTRATION FORM
CHILD REGISTRATION FORM
MEDICAL HISTORY FORM
PATIENT SCREENING QUESTIONS
NOTICE OF PRIVACY PRACTICES
FINANCIAL AGREEMENT

Refer a Friend and Save

Renton Smile Dentistry always appreciates your referrals! Whenever you refer a new patient, we’ll apply a $50 credit to your account or send you a $25 gift card when your referral completes their first comprehensive appointment.

The best way to save on your dental care is to schedule routine preventive appointments and treat problems as soon as they’re diagnosed. Call our Renton dentist today to schedule your next appointment.

Contact Renton Smile Dentistry

    New Patient?

    Office Hours

    Tuesday:
    8:00am - 5:00pm
    Wednesday:
    8:00am - 5:00pm
    Thursday:
    8:00am - 5:00pm
    Friday:
    8:00am - 5:00pm
    Saturday
    8:00am - 3:00pm
    (by appointment)