Clements Orthodontics

Evergreen Medical Dental Building
12817 120th Avenue NE Suite D
Kirkland, WA 98034
TEL : 425-821-7888   FAX: 425-821-0412
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Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

» Online Health History Form
» Patient Form (Child) [PDF] | [DOC]
» Patient Form (Adult) [PDF] | [DOC]
» Patient Form (Child & Adult) [PDF] | [DOC]

Statement of Privacy Practices HIPAA.doc

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Dr. Karen Clements is an Orthodontist serving children, teens and adults in the Greater Eastside Seattle area. Schedule a complimentary consultation with
Dr. Clements today.