Patient Forms
Welcome to Brilliant Smiles Bellevue! To make your visit as pleasant and easy as possible, we ask that you download and print the following patient forms to prepare for your first visit.
Health History Form
New Patient Registration
Financial Policy Form
Monday 7:00 am - 7:00 pm Tuesday 7:00 am - 7:00 pm Wednesday 7:00 am - 7:00 pm Thursday 7:00 am - 7:00 pm Friday Closed Saturday Closed Sunday Closed
425-243-6468 Request Appt.
