Patient Forms

In Preparation for Your Visit


Call our office today to request access to the Patient Portal!  206-215-3850

* Registration *New Patients

* Health History Questionnaire  *New Patients

Notice of Privacy Practices (Please, Read)

Patient Financial Responsibilities (Please, Read)

Medical Records Release Form

Referral Form

To view our Surgery Center Charity Care Policy click HERE.

To view and print our Surgery Center Charity Care Application click HERE.