Patient Forms

Our Bothell family dentistry practice understands how hectic life can be, and wants to make your time with us both relaxing and rewarding.

Make It Easy On Yourself With Our Online Forms

To enhance your experience and help you feel at ease, we make our new patients forms available online. Now you have the option of completing your forms when it’s convenient for you, so you don’t have to feel hassled with paperwork before your appointment.

Simply login to our secure patient portal to access your account and all patient forms before your appointment.

Insurance Information and Our In-House Dental Plan

We work with you to make your dental care a financial success. Our office is a Preferred Provider for Regence and Premera, and Participating Providers for Washington State Dental Service.

Crisafulli Dental is also a proud provider of Quality Dental Plan. This is a dental savings plan that promotes oral health care and makes it more affordable for you and your family. You pay only for the services needed, without monthly premiums or hidden fees. To find out more about QDP, speak with one of our office staff by calling today.

Other acceptable forms of payment include:

  • Cash
  • Check
  • Major Credit Cards

Our goal is to make your visit with us go as smoothly as possible. If you have further questions about our patient forms, billing and payment, or the services we offer, we are always happy to help. Contact our Bothell family dentistry practice to speak with our staff at Crisafulli Dental.

Crisafulli Dental is a Bothell family dentistry that offers a wide range of dental services for the Seattle and Woodinville WA areas.

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