Seattle Nephrology 

Jung H. Joh, M.D. / Win Kyaw, M.D.
21616 76th Ave. W. – Suite 211
Edmonds, WA 98026 
Phone: (206) 542-1000 | Fax: (206) 542-5353

Welcome to the office of Seattle Nephrology

Enclosed, please find:

1. Registration form;
2. Patient Health Questionnaire (2 pages);
3. Patient Record of Disclosures;
4. Privacy Notice (4 pages - for your information only; do not return this to us);
5. Acknowledgement of Receipt of Privacy Notice

Please complete the necessary forms and bring them in with you to your appointment.  Please also be prepared for your initial appointment by bringing the following items:
	**Please arrive 15 minutes prior to your appointment for check in**

1. An updated list of all of your medications, with dosage.
2. Your insurance card(s).
3. Picture I.D.
4. *Co-payment (if required by your insurance). 

Business hours:

Tuesday:		9:00 a.m.-12:00 p.m.
Friday:			9:00 a.m.-12:00 p.m.

Your appointment is scheduled for_______________________________________________

Please note there will be a $75 fee assessed for appointments missed or changed with less than twenty-four (24) hours' notice.

Please do not hesitate to give our office a call if you have any questions or concerns prior to your appointment.

We look forward to meeting you.
Seattle Nephrology