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Patient Intake

Complete your paperwork before you arrive — on your phone with our guided form, or by downloading fillable PDFs to print or fill on a computer.

Online form: about 8–12 minutes. Prefer the phone? Call (206) 367-2224.

Online intake (recommended)

Guided steps for general, auto accident, or workers' comp visits. Works well on mobile and can pre-fill clinic PDFs when you submit.

Prefer a printable PDF?

Download fillable clinic forms to complete on your computer or print and bring to your visit. The online wizard above is still the fastest option for most patients.

  • New patient information

    Most patients

    Confidential patient information form for a first visit or general wellness care. Includes history checklist and body diagram page (mark pain by hand or PDF annotation).

    Download PDF
  • Auto accident (MVA) history

    Auto accident

    Motor vehicle accident history form for personal injury visits. Complete in addition to the new patient form when your visit is accident-related.

    Download PDF
  • Workers' comp / L&I history

    Workers' comp

    Work injury and L&I history form. Use with the new patient form when your visit is for a workplace injury.

    Download PDF

Tip: For auto accident or work injury visits, download the matching history form and the new patient form.

Bring completed forms to the office, or email them only if your provider uses a secure method you both agree on. Questions? Call (206) 367-2224.

Prefer the guided phone-friendly experience? Use the online intake wizard.