​Nordstrom Family Dental

1001 E USA Circle Suite B, Wasilla, AK 99654

(907) 357-6800 Main
(907) 357-6878    Fax
frontdesk@matsudentist.com

"Putting Your Dental Needs First With a Gentle Touch."​

Forms

• Welcome Letter & Office Policy 
  
  

• Adult Registration
  
  

• Adult Health History
  
  

• Child Registration & Health History
  
  

• Assign Person to Consent for a Minor
  
  

• Payment for Services policy
  
  

• Transfer of records
  
  

• HIPAA Privacy rules (signature page)
  
  

• Notice of non-discrimination