Client Registration Forms:

Please Download, print, and then fill out the appropriate forms. Then bring them with you to your appointment.

Adult Registration Forms (age18+)

Patient Information Form
Medical History Form
Dental History Form

Minor Registration Forms (17 and under)

Patient Information Form
Children’s Medical and Dental History Forms

Book an Appointment

Contact Lighthouse Dental today for a brighter and healthier smile!

Find Us

​​​​​3205 NE 78th St # 11
Vancouver, WA 98665
(360) 576-3570
Fax: (360) 571-7768

Hours of Operation

Mon: 9:00 am – 6:00 pm
Tue: 8:00 am – 5:00 pm
Wed: 9:00 am – 6:00 pm
Thu-Fri: 8:00 am – 5:00 pm

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    COVID-19 Update: Our office is open now for all non-emergency and emergency dental care. Give us a call today for an appointment!