New Patient Registration Forms

We recognize that your time is valuable. We will make every attempt to honor your scheduled appointment time. To save time, please download our New Patient Registration Form and the Health History Form. This may be easily completed using your keyboard and mouse. Print the completed forms and fax them to us or bring them with you when you come in for your first appointment.

To print the New Patient Registration Form or the Health History Form, please click on the links above. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.

Get Adobe Reader

Contact

2825 80th Avenue S.E., Suite 3
Mercer Island, Washington 98040

Tel. 206-232-3600

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