We ask our prospective patients to print the pre-registration forms, fill them out and if there is at least two weeks before your initial appointment either mail them to our office or fax them to 206-233-9657. If you are going to be seen within two weeks of downloading the forms, please complete them and bring them to the appointment with you. It takes approximately 20 minutes to initiate a patient chart so please arrive at least 20 minutes early to facilitate the initial registration process.

Please remember to allow for possible traffic congestion and parking difficulties in order to arrive on time.
Please call if you are going to be late. Most times, we can accommodate you, but there may be times that we would have to reschedule the appointment.
Thank you.

Patient History

Medical Release Please complete and send this form to the office(s) that have previously treated you for Gynecological/Obstetrical care


HIPAA/Notice of Privacy Practices

Authorization to Release Personal Information