New Patient Forms

Unfortunately, we are not currently accepting new patients at this time.  If you are still in need, please check back with us in the new year (Jan 2022).

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