Alex Chan, D.D.S.
Cosmetic Dentistry
Bellevue, WA
425-747-7981
  • Patient Information
    • Introduction
    • First Visit
    • Scheduling
    • Financial Policy
    • Insurance
    • Infection Control
    • Privacy Policy
  • Services
    • Introduction
    • Fillings
    • Sealants
    • Veneers
    • Inlays/Onlays
    • Bonding
    • Dental Implants
    • Extractions
    • Bridges
    • Crowns
    • Root Canal
    • Bleaching
    • Nitrous Oxide
  • Dental Health
    • Introduction
    • Oral Hygiene
    • Child Dentistry
    • Periodontal Maintenance
  • Advanced Technology
    • Light Cavity Detector
    • Oral Cancer Light
    • Sapphire Whitening
    • Intraoral Camera
    • Precision Dentistry
    • Digital Imaging
  • Meet Us/Contact Us
    • Contact Information
    • Alex Chan D.D.S.
    • Meet the Staff
    • Office Tour
    • Bellevue Location Map
  • After Care Instructions
    • Tooth Colored Fillings
    • Cosmetic Reconstruction
    • Crown/Bridge
    • Tooth Extraction
    • Root Canal
  • Online Forms
    • Patient Registration
    • Consent Forms
  • Smile Gallery
    • Smile Gallery

Online Forms

  • Patient Registration
  • Consent Forms
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Patient Consent Forms Bellevue, WA

Please download and fill-out our forms. After you have completed the form, please make sure to bring it on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

  • Download Our Financial Agreement Form
  • Download Our Appointment and Cancellation Policy Form

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Alex Chan D.D.S. provides General & Cosmetic Dentistry such as Dental Implants, White Fillings, Sealants, Porcelain Veneers, Inlays/Onlays, Bonding, Extractions, Bridges, Crowns, Root Canals, Teeth Bleaching & Sedation Dentistry to patients in the Seattle Metro Area including:
Bellevue, Redmond, Kirkland, Issaquah, Sammamish & Mercer Island WA


Alex Chan D.D.S. • 14420 Bel Red Rd. Suite 103 • Bellevue, WA 98007 • Phone: 425-747-7981 • Fax: 425-643-5432


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