Patient Forms

Forms

Please print out and complete our Registration Packet and bring it with you to your appointment. Please check-in 30 minutes prior to your scheduled appointment time.

Authorization to Release Information

If you would like to request a copy of your medical records, please call our office at (425) 823-4000 and choose option “3” to leave a message with our Medical Records Department.  Allow 24-48 hours for processing.  You can also submit a request for records on MyChart. To create a new account Click Here.

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A Service of Proliance Surgeons


We’re a part of Proliance Surgeons, a team of independent, physician led care centers dedicated to providing exceptional outcomes, personally delivered.