Patient Forms

For your convenience, we have our patient forms available for download here.
Please print them and bring the completed forms with you to your new patient appointment.

Dental
Referral Form

Tongue Tie
Referral Form

Oral Surgery Referral Form

Please fax your referrals to:
425-212-1812

Mukilteo

4420 106th St. SW
Mukilteo, WA 98275
T: (425) 341-7827
E: mukilteo@stellarkids.com

Everett

111 SE Everett Mall Way, Ste. D
Everett, WA 98208
T: (425) 341-7827
E: everett@stellarkids.com

Mill Creek

13209 44th Ave SE, Ste. 101
Mill Creek, WA 98012
T: (425) 341-7827
E: millcreek@stellarkids.com

We Are Proud Members of:

Our Locations

We have 3 convenient locations in Mukilteo, Everett, and Mill Creek, WA.

Brayden

In one word AMAZING!!! Thank you is not enough. I can’t begin to thank you for everything you did for my son’s dental health. Thank you a million times over!

Stellar Savings Plan

For new or former patients, you are eligible as long as you are not covered by an existing dental insurance.