Benson Hill Smiles

16653 108th Ave SE
Renton, WA 98055
(425) 226-1244

Patient Forms

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

» Patient Form [PDF] | [DOC]

» Online Health History Form

» Medical History Form [PDF]

» Notice of Privacy Practices [PDF] | [DOC]

» Health Information Use and Disclosure Consent [PDF] | [DOC]

» Financial and Cancelation Policy [PDF] | [DOC]

If you're unable to open PDF files, you can get Adobe Reader® for free.

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