Patient Forms

We request you complete a Patient Registration Form before a Well Child Check or prior to completion of school forms for children 7 years and older.
Please print, review and fill out the Patient Financial Policy Form.   Additional forms for specific appointments can be found below.

Please remember to bring any forms you need completed by your pediatrician to your appointment. Complete as much of your forms as possible before your appointment, including those for school registration, special health conditions, medication taken at school, and sports participation.

School Forms

The following are links to the various school districts of our patients.
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Highline School District
Kent School District
Federal Way School District
​Renton School District
Seattle School District

Specific Health Forms

Your doctor may ask you to fill out one or more of the follow forms below. You will be given specific instructions when your appointment is scheduled. Print and bring the completed form to your appointment.

GAD-7
PHQ-9