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  • 1518 Jadwin Avenue
    Richland, WA 99354

Dental Patient Forms

Preparing for Your Appointment Patient Forms & Documents

Please help us be prepared for your first appointment by completing these dental patient forms. Please select each of the three file to download, print, fill out, and bring with you to your first appointment. We look forward to seeing you soon!

  • New Patient Registration Form

    Provide general patient and health history information, so we can learn about you and your health.

  • Privacy Policy & Health Care Release

    Know your rights to privacy and give us permission to provide care.

  • Patient Records Request Form

    Give us permission to receive your health records from another provider.

  • Dr. Ostler should change the name to: The Center for EXCELLENCE in Dental Health....He has without doubt, the BEST staff ever! Friendly, professional, great attitudes, fabulous smiles and attention to every detail."

    Dawn   Read More Reviews

No Insurance? Our Patients Don't Need It!

With our new Preventative Care Wellness Program, you get all this for a low monthly fee:

  • Regular Professional Dental Cleanings
  • X-Rays
  • One Emergency Exam Per Year
  • Steep Discounts on Dental Treatment
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