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New Patient Forms
Please fill out these patient information and health history forms and email them to us as an attachment at least two days prior to your child's appointment. If you have any questions, please feel free to contact us.

New Patient Form

Medical & Dental History

















Office Hours
Tuesday 8 a.m. to 5 p.m.
Wednesday 8 a.m. to 5 p.m.
Thursday 11a.m to 5 p.m.
Friday 8 a.m. to 2 p.m
Saturday 9 a.m. to 3 p.m.
Accepting new patients - Call (206) 535-8189

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Victoria Vu DDS | www.mipediatricdentistry.com | (206) 535-8189
7800 SE 27th St, Mercer Island, WA 98040



 

 

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