Patient Registration

For your convenience our forms are available online.  Just click “Online Patient Registration” below.  Alternatively, after clicking “Online Patient Registration,” you may choose to download, print,  and complete the forms by hand prior to your child’s appointment. If you have any questions about them, do not hesitate to call us. 

We accept most insurance plans.  Dr. Aka is a participating provider with Premera, Delta Dental, Regence, Cigna and Guardian Employer-Sponsored Group Plans such as those offered by Microsoft, Starbucks, Amazon, and the Washington Education Association. 

If you have any problems or questions, please ask our staff. They are well-informed and up-to-date and can be reached by phone at Sammamish Office Phone Number 425-394-1234.

Online Patient Registration