• 12199 Village Center Pl. #204
    Mukilteo, Washington 98275
  • Call Us
    425-349-5600
  • Open Hours
    Mon - Thurs: 8:00AM - 5:00PM

New Patients

Welcome!

Thank you for choosing Harbour Pointe Dentistry and Dr. A Van Wong as your dentist!

Please print, complete and bring the New Patient Form to your first appointment to facilitate the check-in process and shorten your wait time.

New Patient Form

The privacy of your health information is important to us. We understand that your health information is personal and we are committed to protecting it. 

This Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information.

HIPPA Notice of Privacy Practice

Fees and Payments

Our primary goal is not to allow the cost of treatment to prevent you from the care you need or desire. In our office, we strive to maximize your insurance benefits and make any remaining balance easily affordable.

Our fees are based on the quality materials we use and the time, effort and skill required in performing your needed treatment. We charge what is the usual and customary fee for our area. We will assist you with your benefit eligibility before treatment to help you calculate your costs and maximize your insurance. We will be sensitive to your financial circumstances and do everything possible to help you achieve oral health.  We are happy to submit the claims necessary to see that you receive the full benefits of your coverage; however we cannot guarantee any estimated coverage.

For your convenience, we accept most major credit cards. Payment for services is due at the time services are rendered unless prior arrangements have been made. Overdue balances are subject to a finance charge of 1.5% per month.  Checks that are returned to our office from your financial institution are subject to a $25.00 returned check fee. This fee covers the processing fees that are charged to our office.

We would be happy to discuss our charges and how they relate to your particular situation. We also realize that temporary financial situations may affect timely payment of your account. If such problems do arise, we encourage you to contact us promptly for assistance in the management of your account. Most often, financial misunderstandings can be managed with a simple phone call. Please feel free to contact at anytime to discuss any concerns you may have.

Insurance

We are a preferred provider with Delta Dental, CIGNA, AETNA, Metlife. We accept most dental plans and will work with you to maximize your insurance benefits.

Appointment cancellation and rescheduling

Our practice is dedicated to quality care and exceptional service. Our doctors and team spend extensive amounts of time preparing for your visit. Broken and missed appointments create scheduling problems for our team as well as other clients. If you find that you must change your appointment, we require a minimum of 48 hours notice so that we may make every effort to accommodate other clients. Please call us at 425-349-5600.

Testimonials

What Our Patients Say

For questions, appointments or more information you can call us Mon – Thurs 8AM – 5PM

425-349-5600