Kirkland:
Patient Information

Patient Forms

Online Patient Forms

Your request will be processed within 24 hours, during normal business hours. If you do not receive confirmation of your request within 48 hours, please contact our office by phone.

Download Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need to download Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.

Authorization to Release Information

If you would like to request a copy of your medical records, please call our office at (425) 823-4000 and choose option “3” to leave a message with our Medical Records Department.  Allow 24-48 hours for processing.  You can also submit a request for records on MyChart. To create a new account Click Here.