Patient Registration Forms

CLIENT REGISTRATION FORMS:

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

Online Patient Forms

Adult Registration Forms (age18+)

Minor Registration Forms (17 and under)

Our Location

3205 NE 78th St # 11 Vancouver, WA 98665

Hours of Operation

Our Regular Schedule

Monday:

9:00 am-6:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

  • "I love these guys!!!!"
    JAMES M.
  • "Dr. Erika and staff are fantastic! All are pleasant and efficient at what they do. We’ve been going to Lighthouse Dental for many years and will continue to do so. Thank you for the great service!"
    PATTI H.
  • "Great Dentist!! Great staff!! Great atmosphere!!"
    JIM S.
  • "It was my first visit. I will be staying with Dr.Takanami’s practice. The doctor gave me so much good information and advice. She did not rush through my appointment taking time to answer all my questions . She is very personable,"
    PATSY W.