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  8012 15th Ave NW. Seattle WA 98103                          © 2020 by Seattle Nature Cure Clinic.

                             Tel/ (206) 708-1212     Fax/ (206) 466-5488                                                  

Seattlencc@gmail.com                                                                                                         

All new patients to the clinic must fill out the paperwork below. If you are unable to print and fill out these forms ahead of time, please arrive 15 minutes early to your first appointment.

 

Patient Registration & Insurance Form

 

Consent Form

 

HIPAA Release Form

 

Financial Responsibility

 

Patient Intake Forms