New Patient Forms

To inquire about becoming a new patient:

• Please see our Services page for information on what services we offer.
• Have your referring clinican fax your most recent chart notes to 206-386-3123. 
• Complete the forms below.
• Once both of the previous steps have completed please give us a call at 206-386-3103 and our Care Coordinators will further assist you. 

New Patient Forms:

• Release of Information
• Demograpic Form
• Policies, Procedures and Privacy