New Patient Forms

Ellensburg Dentist

Ellensburg Dentist


We are genuinely pleased that you have chosen us for your dental care. We are always excited to see new smiles coming through our door! In order to provide you with the best level of care, we need to get some information from you. Please fill out your new patient forms below, or plan to arrive 15 minutes early to your appointment to complete them in the office.

Giving you a reason to Smile

Pearl Care Dental

PCD PT Info Ins HIPPA Release

Personal Info, Emergency Contact, Insurance Info

Medical History

Dental & Medical History

What People Say About Us

Client Testimonials