Patient Forms

Patient Forms

You may complete the patient registration packet before your appointment and either fax it into our office at (206) 315-4601 or bring the completed forms with you to your appointment. Please arrive 10-15 minutes before your scheduled appointment time with your forms (if not faxed), your insurance card and photo identification. Arriving early allows our staff to enter your information in a timely manner and allows you to be seen at your scheduled appointment time.

Patient Registration
Notice of Privacy Practices / HIPPA

If your child will be coming to their appointment unaccompanied by their parent or legal guardian, please complete the Consent to Treat Minors Form.

Consent to Treat Minors Form

If you have been under the care of another dermatologist in the past and would like your medical records transferred to Northwest Skin Specialists, please complete the Release of Records Form.

Release of Records Forms