Please bring the following to your visit:
- Patient History Form
- List of current medications and dosages
- X-Rays related to your condition
- Insurance card(s) – Primary and secondary insurance
- Insurance referral if required by your insurance plan
Co-payments are due at the time of your visit. We accept cash, checks, MasterCard, and Visa.
New Patient Intake Forms
Please click on “Patient Intake Form” below to download the forms required for your appointment. The form will open in a new browser window. Completing these forms prior to your visit will expedite and simplify your visit.
Patient Intake Form (.pdf)
Espanol – Historia Medica (.pdf)
Canceling an Appointment
Please call the office, at 425-775-7166, during business hours, and at least 1 day prior to your appointment. A $50 fee will be assessed if a scheduled clinic appointment is canceled within 24 hours of the appointment. If a scheduled surgery, set to occur in the Ambulatory Surgery Center, is canceled less than 24 hours from the time of surgery, you will be charged a $125 fee.