Patient Forms

Each patient must fill out the new patient registration forms prior to their first appointment. You may download a printer-friendly version on our website or request that we mail or fax them to you. Please arrive at your appointment 10-15 minutes early to fill out this paperwork if you do not do so before hand. Also, please bring your insurance card(s) with you to your first appointment.

Health History Form - To be completed by all new patients and once a year thereafter to ensure we have accurate information in order to best serve you

New Problem Intake Sheet - To be completed with each new issue addressed with existing patients

Hippa Privacy Act - To be signed by all new patients and once a year thereafter to be sure we are complying with all privacy laws

Serving the Bellevue, Kirkland and Redmond Areas