Thank you for considering Drs. Leone and Vaughn

As your Bellevue and Seattle orthodontists, our goal is to make your visit as easy as possible.

Thank you for considering Drs. Leone and Vaughn

As your Bellevue and Seattle orthodontists, our goal is to make your visit as easy as possible.

Forms & Financial Information

Forms

For easy online access, log into our secure patient portal to fill out all of your forms before your appointment with us. Or, take a moment to print and fill out the forms by hand.

Request for Records Release (Online Fillable) Adult New Patient Forms (Online Fillable) Child New Patient Forms (Online Fillable) Health and Patient Forms (Online Fillable) Pediatric Airway Forms (Online Fillable) Adult Sleep Forms (Online Fillable) HIPAA Forms (Online Fillable) Health and Patient Forms (PDF)
 

Financing Options

Every smile is unique, and so is every budget. Therefore, the cost of your treatment may vary depending on individual needs. Our accepted methods of payment include:

  • Most insurance plans
  • Major credit cards
  • Cash
  • Checks
 

Patient Rewards Program

Our Patient Rewards Program has been a great hit! As your orthodontists in Seattle and Bellevue, we're pleased to offer you ways to earn great prizes. You can earn points by:

  • Being on time
  • Referring friends
  • Seeing your dentist regularly
  • Practicing great oral hygiene
  • And much, much more!
Rewards Program
 
 

Need Orthodontics?

Many Washington companies, organizations, and government associations have chosen Leone and Vaughn Orthondontics as the preferred provider for their employees.

Ready to get started?

Request an Appointment