Call Us Today
(425) 338-9773

New Patient Forms


We are always welcoming new patients to our practice!

Online Forms
To fill out new patient paperwork online, click on the link below and create a patient portal login:

Printable Forms
Please download the forms below, print and bring completed forms to your child's first appointment!
What Our Patients Are Saying About Us

"My 4 year old son loves getting his teeth cleaned! He woke up asking when he was going to go get his teeth brushed because he remembered us talking about it the day before. His assistant Whitney was awesome and made the experience spectacular. The treasure tower on the way out was just icing on the cake!"
Katie B. - Everett

READ MORE REVIEWS


LELAND SHENFIELD, DDS, MSD
A Mill Creek, Washington Pediatric Dentist
16030 Bothell Everett Highway Suite 250,
Mill Creek, WA 98012

FAX: 425-338-9743
(425) 338-9773





Home  | About Us  | Prevention  | Dentistry  | New Patients  | Testimonials  | Contact  | Meet Dr. Shenfield  | Meet Our Team  | Office Tour  | Patient Forms  | Dental FAQs  | News & Events  | Dental Emergencies  | First Visit  | Baby Teeth Matter  | Treating Decay  | Early Orthodontics  | Kid's Corner  | Toothpaste and Your Kids  | Tips For Brushing  | Mouthguards

Copyright © 2015-2017 Mill Creek Children's Dentistry and WEO MEDIA. All rights reserved.  Sitemap | Links