Forms

Download these forms if you'd like to fill them out at home instead of at our office.

New Patient Forms

• Family History Questionnaire PDF
• New Patient Registration Form PDF
• Billing and Insurance Policy PDF
• Notice of Privacy Practices PDF
• WCC Billing Policy With Other Visits PDF

Behavioral Health Forms

• Vanderbilt ADHD Scale (Parent and Teacher) PDF
• GAD-7 PDF
• PHQ-9 PDF
• M-CHAT PDF
• Edinburg Postnatal Depression Scale PDF

Other Forms

• Adolescent Consent Form PDF
• Authorization to Administer Medication at School PDF
• Release of Information PDF
• Advance Consent for Grandparent, Nanny or Other PDF
• Student Athlete Registration Packet: For Seattle School District PDF