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).

HIPAA acknowledgement:

Download

Release of Records Form:

Download

Consent to treat a minor Form:

Download

Personal Questions:

Download