New Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Hasegawa and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

 



 

Contact Information Form

Medical History.pdf

Dental History.pdf

HIPAA Privacy Act

 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.

Ready to come in for an appointment?
Contact us today!

Hasegawa Family Dentistry
Paul Hasegawa, DDS
Dentistry in Seattle's Columbia City

Seattle Dentist, Dr. Paul Hasegawa is a professional dedicated to Excellence in General, Family, & Cosmetic Dentistry such as Dental Implants, Cleanings & Prevention, Restorations & many other dental procedures. Please come and visit Seattle Dentist, Dr. Paul Hasegawa.


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