Click a link below to download and print a PDF form.
New Patient Forms (4)
Please fill out all four forms completely (see below). Bring with you to your appointment, or if your appointment is more than one week away, you can mail it to the office address for your appointment.
School Forms (3)
Please complete the lower portion of this form and fax back to the office that you go to, Att: Nurse Triage.
Immunotherapy Form
If you have checked with your insurance company and have now decided to start a program of shots, fill out this form and fax it to the Seattle office at: 206-523-0724 Att: Antigen Department.
Click here to download form
Medical Record Form
Please complete and fax to the Seattle office at: 206-523-0724 Att: Medical Records Department.
Click here to download form
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