Patient Intake Forms
To help make your visit as efficient as possible, we ask that all patients complete their medical intake forms prior to their appointment.
Our medical side of the practice uses the Modernizing Medicine patient portal. When your appointment is scheduled, you will receive a link that allows you to securely complete your intake forms online before your visit.
If you are unable to access the portal through your scheduling link, you may instead complete the attached intake forms and bring them with you to your appointment.
You may also mail the completed forms to our office in advance:
Attention: Scheduling
1810 116th Avenue Northeast Suite D1 Bellevue, WA 98004
Completing your forms ahead of time helps ensure your appointment runs smoothly and allows our providers to review your medical history prior to your visit.
Software Requirements:
To fill out, save or email the above forms Adobe Reader version 8.16 or higher is required.
