Patient Resources - Kirkland Dental Smile
Patient Information
At Kirkland Dental Smile, we make every visit simple and stress-free. Explore our patient resources below to access forms, office policies, and helpful information to prepare for your first appointment.
New Patient Forms
Complete your new patient forms online ahead of time to save time at your first visit.
Share your medical and dental history securely before your appointment to help us provide personalized care.
Review our office policies to understand our scheduling, payment, and care guidelines before your first visit.
Learn how Kirkland Dental Smile protects your personal and medical information under HIPAA compliance.
Complete your forms online for faster processing. Click the button to fill out and submit your information securely without downloading or printing.

Dental Insurance
maximize your insurance plan
At Kirkland Dental Smile, we make every effort to provide you with exceptional care and convenient financial options. We accept most dental insurance plans and are happy to submit claims on your behalf.We are proud preferred providers for:
Assurant, Washington Dental Service (WDS), Aetna, Premera, Regence, Guardian, United Concordia, Delta Dental, and MetLife.
If your plan isn’t listed, don’t worry — we likely accept it. Our team will gladly verify your coverage before your appointment and answer any insurance questions you may have. Please bring your insurance information with you to your visit so we can help expedite reimbursement.
Make sure to take advantage of your dental benefits before they reset at the end of the year. Schedule your cleaning or pending treatment today to maximize your insurance plan and avoid losing unused benefits.
Dental Insurance
Insurances We Accept
Payment Options
At Kirkland Dental Smile, we strive to make dental care convenient and affordable. For your comfort, we accept Visa, MasterCard, Discover, and CareCredit. Payment is due at the time of service unless prior arrangements have been made. If you have questions about your account or insurance coverage, our team is always happy to help — please contact us at 425-821-8411.
We can also assist in setting up a payment plan through CareCredit to fit your needs.



Receive $25 Credit to Your Account
At Kirkland Dental Smile, our patients are the reason we love what we do. If you have friends or family looking for a new dentist, we’d love for you to tell them about us.As a thank you, when your referral completes a new patient exam, cleaning, and required X-rays, you’ll receive $25 in credit toward any treatment you choose. There’s no limit to how many referral credits you can earn.
We also love rewarding our loyal patients. Follow us on Facebook and check back often for exclusive monthly and seasonal promotions available to both new and existing patients.
Current Specials
Enjoy exclusive savings on your next dental visit.









