K-B and Alder-Lynn Family & Cosmetic Dentistry


From the first day you join our office, we will cater to your dental needs. As part of your first visit with us, you will fill out a comprehensive medical and dental history. These forms are important because they help us to determine the course of your treatment. We have to know about allergies, sensitivity to anesthetics, long-term medications, etc.

For your convenience we've included these forms below. Click on the links to download and print out these forms at home, where you can fill them out at your leisure and bring them with you to your first visit.


Kirkland Dental Excellence

Patient Registration

Consent for Treatment of Minor  
Alder-Lynn Family and Cosmetic Dentistry
Patient Registration Consent for Treatment of Minor  


1619 Market Street • Kirkland, WA 98033
Ph: (425) 827-2003 • Fx: (425) 828-3873
4410 194th St. Suite C • Lynwood, WA 98036
Ph: (425) 775-6614 • Fx: (425) 774-1612