(509) 465-5000
North Spokane Dental
Forms

New patient forms.

Download, fill out, and bring all three forms to your first visit. If you'd prefer to fill them out at the office, please arrive 15 minutes early.

Health History

Medical and dental history. Required for all new patients.

Download PDF

Registration

Personal info, insurance, emergency contact. Bring printed or fill out online.

Download PDF

Financial Policy

Payment terms, insurance handling, late cancellation policy.

Download PDF
Schedule Today

Your next visit, booked in minutes.

New patients warmly welcomed. Fill out the form on our contact page or call us directly — we'll respond within one business day, or sooner.

Address
12404 N. Division St
Spokane, WA 99218 · Wandermere Village
Phone & Fax
(509) 465-5000
Fax: (509) 464-1152
Hours
Mon – Thu, 8 AM – 5 PM
Friday – Sunday: closed