smilekirklandkids ACCESSIBILITY STATEMENT

smilekirklandkids is committed to facilitating the accessibility and usability of its website, https://www.smilekirklandkids.com/, for everyone. smilekirklandkids aims to comply with all applicable standards, including the World Wide Web Consortium's Web Content Accessibility Guidelines 2.0 up to Level AA (WCAG 2.0 AA). smilekirklandkids is proud of the efforts that we have completed and that are in-progress to ensure that our website is accessible to everyone.

If you experience any difficulty in accessing any part of this website, please feel free to call us at (425) 820-6633 or email us at office@kirklandkids.com and we will work with you to provide the information or service you seek through an alternate communication method that is accessible for you consistent with applicable law (for example, through telephone support).

Patient Forms


Existing Patients:

  1. COVID-19 + Info Update Form

New Patients:

  1. New Patient Forms PDF
  2. New Patient COVID-19 Form 

Please fill out each form for each child.
completing ALL forms please click the “SUBMIT” button ONCE. Upon submitting your information please do not exit your screen until our website re-appears; indicating successful submition of information to our office.

Please have your Dental INSURANCE information, including the member/subscriber NUMBER available to enter into the Registration form.


We look forward to meeting you and your child at your first appointment! If you have not already contacted us please do at 425-820-6633 or office@kirklandkids.com !

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