409 2nd St NE
Puyallup, WA 98372-3033

(253) 845-7611
Always Accepting New Patients!

Patient Forms

Please print and fill out these forms so we can expedite your first visit:

Patient Information Form

Financial Policy Form

Caregiver Informed Consent Form

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Please contact us if you have any questions about our forms.


Family Dentist

409 2nd ST. NE
Puyallup, WA 98372

(253) 845-7611

drpak@puyallupdds.com















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Sammy Pak DDS | www.puyallupdds.com | (253) 845-7611
409 2nd St NE, Puyallup, WA 98372



 

 

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