Patient Forms
Dentist - Everett, WA

For your convenience we've provided the following documents for you to print and fill out prior to your first visit. If you need any assistance please give us a call at (425) 405-6400 and our friendly and professional staff will be happy to help.

Patient Information
Health History
Financial Agreement




Voted TOP DENTIST
Voted TOP DENTIST OF 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017
By vote of his colleagues and Seattle Metropolitan Magazine.













425-405-6400

3624 Colby Ave, Suite A
Everett, WA 98201


Office Hours

Monday-Wednesday: 8am to 5pm
Thursday: 7am to 1pm

*We are contracted providers with Delta Dental PPO, Aetna PPO & Premier plans only.



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Jeff Tufarolo, DDS, PS | www.jefftufarolodds.com | (425) 405-6400
3624 Colby Ave, Suite A, Everett, WA 98201



 

 

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Jeff Tufarolo, DDS, PS, 3624 Colby Ave, Everett, WA, 98201 - Associated Words: dentist Everett WA, dentist Everett WA, (425) 405-6400, www.jefftufarolodds.com, 8/15/2017