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CALL: (425) 998-6998
Monday-Wednesday: 7:00 am - 5:00 pm
Thursday 7:00 am - 1:00pm
Friday: 7:00 am - 12:00 pm

Appointment Commitment Agreement

We respectfully request 48 hours advance notice for canceling or rescheduling an appointment. This allows enough time to contact our patients waiting for treatment.

 

If you are unable to allow 48 hours notice, our policy provides that you will receive a written notice reminding you of our Appointment Commitment Agreement. If a second occurrence happens within a 12 month time period, we will ask that all future appointments be paid in full 1 week prior to a scheduled appointment.

 

If you should miss the prepaid appointment, there will not be a refund of prepaid funds and all future appointments will need to be paid ahead of time. We are 100% committed to our patients and respectfully request the same in return.

 

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Patient's First Name: *

Patient's Last Name: *

Date: *

The person filing out form is: *

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A Commitment to Patient Education & Preventive Care


The best preventative care and oral health comes from educating patients on what these mean. The more our patients know about the health of their teeth the better they are able to take care of them. They are also better able to make decisions on procedures they might, or might not need. Patients should feel free to ask our dentists and staff any dental questions they may have.

Patient education goes hand in hand with preventative care. We arm patients with the tools needed to best maintain their teeth and overall oral health. This helps prevent issues that can occur between checkups and helps avoid more extensive dental procedures down the road.


WHAT OUR PATIENTS ARE SAYING:
As a patient, three things stand out to me about Cooley Smiles - the great quality dental work, the cleanliness of the facility and thorough follow up. These are major differentiators that I look for in dental providers and to-date, I've always been satisfied with my experience. Thanks for the great patient care, Cooley Smiles team!

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Cooley Smiles -
4100 Factoria Blvd SE, Suite C Bellevue, WA 98006-1262
- (425) 998-6998

We are committed to making sure each and every patient is taken care of!
Never hesitate to ask us any questions you may have!




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This cosmetic dentistry website is for informational use only. The content within these pages should not be perceived as formal advice, nor does the understanding constitute a formal relationship. ©2011 Cooley Smiles Family and Cosmetic Dentistry - Our Cosmetic Dentists serve patients in Bellevue, Mercer Island, Factoria, and Issaquah, Washington and surrounding communities.
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Cooley Smiles, 4100 Factoria Blvd SE, Bellevue, WA, 98006-1262 - Related Terms: Dentist Bellevue WA, Cosmetic Dentist Bellevue WA, Dentist Bellevue WA, (425) 998-6998, www.cooleysmiles.com, 12/12/2017