New Patients please print the forms below and bring to your appointment COMPLETELY FILLED OUT. Also, bring your insurance card(s) and photo I.D.
Seattle Nephrology (SHORELINE & EDMONDS)
- Welcome Letter (Shoreline)
- Welcome Letter (Edmonds)
- Demographics
- Directions (Shoreline)
- Health Questionairre (page 1)
- Health Questionairre (page 2)
- Health-Questionairre (Korean version)
- HIPPA
- Patient record of disclosures Neph
Seattle Endocrinology (SHORELINE)
- Welcome Letter
- Demographics New Pt
- Directions New office
- Health-Questionnaire (page 1)
- Health-Questionnaire (page 2)
- Notice of Privacy Practices Form
- Patient Record of disclosures – Endo
- Health Questionnaire (Korean version)
Rapha Podiatric Medicine & Surgery (SHORELINE & TACOMA)