Patient Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Derek Damon Orthodontics

  • Bellingham Location - 3400 Squalicum Pkwy., Suite 101, Bellingham, WA 98225 | Phone: 360.676.6060
  • Anacortes Location - 1220 22nd St., Suite A, Anacortes, WA 98221 | Phone: 360.293.2888

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