• Home
  • Meet Our Team
  • Patient Forms
  • MAP
  • Home
  • Meet Our Team
  • Patient Forms
  • MAP

Patient Forms

Patient Forms

Your time is very important and valuable to us. For your convenience, we have made our patient forms available online for you to download, print, and fill out prior to your scheduled appointment. Please bring these completed forms to your appointment for the most timely and efficient service. We look forward to seeing you soon. Thank you!
  • Patient Information & Medical History
  • Financial Policy
  • Notice of Privacy Practices
  • Additional Disclosure Authority
Address

823 E COLONIAL AVE

MOSES LAKE, WA 98837

MAP

TOP

Hours

September – May (Winter)

M-Thurs:  8:00 am – 5:00 pm

Friday: 8:00 am – 2:00 pm

June – August (Summer)

M-Thurs:  7:00 am – 4:00 pm

Friday: 7:00 am – 1:00 pm

Phone

(509) 765-7853

Please call for appointments and cancellations.

Email

cc.jorgensendds@yahoo.com

Please do not use for appointment correspondence; call our office instead. This email address is checked very infrequently.

Theme: Illdy. Sloan K. Jorgensen, DDS © Copyright 2024. All Rights Reserved.