Patient Forms

smiling couple

Please take a minute to print and fill out the patient information form before your first appointment. If you are a new patient, please be sure to print and fill out all forms:

  • Health History Form [PDF]
  • HIPAA Privacy Policy [PDF]
  • HIPAA Privacy Policy Acknowledgement [PDF]
  • Financial Policy [PDF]

If you're unable to open PDF files, you can get Adobe Reader® for free.

 

Contact our office to
schedule your appointment

Care Credit

Dental Organization for Conscious Sedation

Washington State Dental Association

American Dental Association

Dr. Rich has repeatedly been voted a “top dentist” by a survey of his peers published each year in Seattle Metropolitan magazine

Back to top

Simply Smiles provides general dentistry for children, teens, and adults in Auburn WA, Kent WA, and South King County. Dr. Stuart Rich offers veneers, sedation, and teeth whitening. Contact Simply Smiles to schedule an appointment with our Auburn WA dental office.

Dental Website by Sesame Design™

Patient Login