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To make your visit go more smoothly, please download and print forms, then complete the information in advance of your visit to our offices. Please remember to bring the completed forms with you.
- HIPPA forms (required
by law of all patients)
- New Patient Information Form (general information we need about you)
- Personal Medical History Form (detailed history)
- Medical Records Request Forms
To Download Files Please right click on the file name, select "download linked file" to the location of your choice on your computer. In some web browsers, the forms may simply open in Adobe format. If your computer lacks the appropriate software, please retrieve and install from: http://www.adobe.com/products/acrobat/readermain.html |
We appreciate your taking the time to complete all required forms.
Please read our Office Policies before your appointment. We are happy to answer any questions you may have.
Located in Queen Anne Square
just west of the Seattle Center
220 West Mercer St Suite 110
Seattle, WA 98119