Playhouse Dental
651 SE Maylor Street Oak Harbor, WA 98277 360-675-4613
1204 18th Street Anacortes, WA 98221 360-588-8238

Forms

FormsPlayhouse Dental has made the transition to a chartless system! This allows us to provide you with more efficient and eco-friendly practice of care. While paper charts have become obsolete, the information you can provide us about yourself is not.

Please find below important new patient forms that we will ask you to fill out prior to or during your first visit.

For your privacy and security, our web forms are encrypted using HTTPS over SSL.  If you prefer to complete these forms at our office, please arrive at least 15 minutes early.

For our referring providers:

Other forms that parents may find useful: