Michael A. Rue, DMD - Vancouver Family Dentist

New Patients

At Minnehaha Family Dentistry, we strive to deliver the highest level of professional service and patient care.

To ensure you have an enjoyable experience at our office, we have provided information and forms below that you can review before your next visit.

For direct questions, you can reach us by email or phone.

Patient Forms

We have provided direct links to important forms for new patients below.

You can complete these forms on your visit, or you can download, print and complete them before your visit.

We look forward to seeing you soon.

Patient Forms
Download Form

Patient Information Form

The patient information form is a required document that we recommend completing before your visit.

The information it provides regarding your current health, medical and dental history assists us in delivering the highest level of service and care.

We appreciate the confidence you place with us to provide dental services. If there have been any changes in your health, please tell us.

If you have any questions or would like additional information, we can be reached at any time via email or phone.

Download Form

Statement of Privacy Practices

At Minnehaha Family Dentistry, we are dedicated to protect the privacy rights and confidential information of our patients.

We are committed to ensuring that your health information is never compromised by any of our employees. This is a principal concept of our practice.

We may, from time to time, amend our privacy policies and practices but will always inform you of any changes that might affect your rights.

Download Form

Non-discrimination Form

Discrimination is against the law.

Minnehaha Family Dentistry complies with applicable Federal civil right laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. We provide free aid and service to people with disabilities to communicate effectively with us – including:

• Qualified sign language interpreters

• Written information in other formats (large print, audio, accessible electronic formats)

• Free languages services for non-native english speakers including written information

If you believe that Minnehaha Family Dentistry has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building

Washington, D.C. 20201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Minnehaha Family Dentistry
Patient Testimonials

"Thank you so much for helping me...I am grateful for your expertise." ~ Diane P.

"Thank you for doing such a wonderful job with my implant crown...I will be glad to refer anyone we know to you. Thank you for a wonderful dental experience." ~ Martha P.