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Forms

Screening Forms

AAOIC

Covid Consent

ADA Patient

Screening Form

New Patient Forms

New Patient Information

Privacy Notice

Privacy Consent

Referral Form

Referral Form

Please fill out the Screening Forms and New Patient Forms prior to your appointment.

You can email the forms ahead of time to info@citygrin.com, or bring them with you to your visit.

Parking Information

Street parking is available directly in front of our building.

 

You can also park in the Kenmore Plaza Parking Lot that is in the back of our building and in front of Kenmore Camera.

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425-486-5033 | info@citygrin.com

© 2022 by City Grin Orthodontics

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