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Call Us: (509) 547-1631
Pasco, WA
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New Patient Forms

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Please download the appropriate forms for your visit and bring them with you to your New Patient or Returning Patient visit. If your dental insurance has recently changed, or if your contact information needs updated, please call our office prior to your scheduled appointment so we can update our system and your benefit information accordingly. Click on a link below to download the form:

>> Registration Form for All New Patients

>> Health History Form for Patients Ages 14+

>> Health History Form for Patients Ages 1–13

>> What Adults Can Expect at Their Appointments

>> What to Expect at Your Child's Appointments

>> Our Financial Policy

>> Notice of Privacy Practices

You will need Adobe Acrobat Reader to access our forms. Adobe Reader is a free, downloadable tool. Click on the image below to start your download.

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Call Us: (509) 547-1631
Dr. J. Andrew Bagley, DDS
Dr. W. Ryan Bagley, DDS

4904 Convention Drive, Pasco, WA 99301
Driving Directions

Office hours:
Mon–Thu 7:30 AM–5 PM
Open every other Friday 7:30 AM–5 PM

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Bagley Dental, 4904 Convention Drive, Pasco, WA 99301 + (509) 547-1631 + bagleydental.com + 9/14/2022 + Key Phrases: dentist Pasco +