Patient Forms



At Bellevue Impressions Dentistry we always welcome new patients. Please fill out our online patient froms before or on your appointment day.

All of our patient forms below are filled out securely online by doctible.com.

— Patient Information Form

— Statement of Privacy Practices Form

— Our Office Policies Form

— COVID-19 Screening Form

— Credit Card Information Form

— Statement of Privacy Practices Form

Visit Our Office

Bellevue, WA

1811 156th Ave NE, Suite #1, Bellevue, WA 98007

Email: bellevueimpressionsdentistry@gmail.com

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Office Hours

  • MON9:00 am - 5:00 pm
  • TUE9:00 am - 6:00 pm
  • WED - THU9:00 am - 5:00 pm
  • FRI9:00 am - 4:00 pm
  • SAT9:00 am - 2:00 pm
  • SUNClosed
(425) 746-8676