New Patient Forms

The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at (425) 392-3900 and our staff will be happy to help you.

Lake Sammamish Family Dentistry
5712 E. Lake Sammamish Pkwy Se Suite 108
Issaquah, WA 98029

(425) 392-3900


Office Hours
Mon-Thurs 7:00 AM - 6:00 PM
Friday - By Appointment
Saturday & Sunday - Closed
Emergencies Welcome