Forms

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).

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HIPAA ACKNOWLEDGEMENT

Read & sign our commitment to your healthcare privacy

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Patient Intake

Fill out the basics needed to get your appointment started

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Minor Treatment Consent

Must be signed in our office

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Records Release

Need your records? Submit a request.