If you are a new patient or a returning patient at Dermatology of Seattle we have our forms available for download. Printing and filling out the forms in advance can save you time and allows you to provide us with the necessary information at your own leisure. Simply bring the completed forms to our clinic and give them to the receptionist that checks you in. If you have any questions regarding these forms please feel free to speak directly with our staff at (206) 248-5020 (Burien) or (425) 455-5111 (Bellevue).

Dermatology of Seattle Forms

New patients & existing patients that need to update information:

New patients & existing patients that need to update information:

For parents/guardians of a minor to be treated:

For existing patients requesting a records release: