Patient Resources

Patient Forms

Due to COVID-19, the American Dental Association (ADA) requires patients to fill-out a patient screening form prior to treatment. For your convenience, click here and you can fill out all Opalesque forms online and/or on an iPad when you come in for your appointment.

Alternatively, you may also download and bring the completed forms to your appointment at our Gig Harbor office. Or if you prefer, please send via fax 253-858-5029 or mail to:

Dr. Keiko Wada
Opalesque Dentistry
7108 Pioneer Way, Suite E
Gig Harbor, WA 98335

Download Opalesque Forms
Download Patient Screening Form

Read our Privacy Practices Policy.

You may need to download Adobe Acrobat Reader to view the forms.


Financial and Administrative Services

Opalesque Dentistry strives for seamless communication. They coordinate your treatment schedule with specialists. They offer financial consultation to maximize benefits, tailor payments and offer personal assistance on insurance inquiries. You can schedule an appointment at 253-858-8158 or request an appointment online


Wellness Plan

The Wellness Plan accommodates anyone without dental insurance or anyone that has benefit changes due to retirement. There is no membership fee to join, simply register and by contacting us via phone or email. After registration, you will be given a Wellness Plan card that helps you financially with the treatment you need at Opalesque Dentistry. Our goal is to make high-level preventative care and treatment affordable for everyone.


Post-Op Instructions

Opalesque Dentistry focuses on your continued care and well-being even after you have completed your treatment in our office.

For continued comfort at home, click on the treatment you received:

Restorative treatments:
Tooth-Colored Fillings

Oral Hygiene treatments:
Dental Implants
Root Planing and Scaling
Basic Cleaning


For additional questions, please call or email us. Your well-being is important.




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