Patient Forms

Forms
New Patient Registration Form
New Patient Registration
Forms
X-Ray and Records Release Form
X-Ray Release Form
Forms
Medical History Form
Medical History
Customer Testimonials
Dr. Wall is the best! The receptionist and dental hygienist are top notch! They are all friendly, professional and make your visit easy. Cleaning my teeth was painless and thorough. I live over 40 miles away but happily travel it every 6 months. Thank you Bellevue Family Denistry!
From their awesome Meredith who schedules everything and deals with insurance to their friendly and sharp hygienists, Bellevue Family Dentistry is always a great experience. Dr. Wall is an expert who is gifted at his profession and as friendly as you’ll ever find.
Excellent customer service the entire staff is polite courteous and professional always on time and a very friendly atmosphere.