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
 

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  8012 15th Ave NW. Seattle WA 98117                          © 2019 by Seattle Nature Cure Clinic.

                              Tel/ (206) 708-1212   Fax/ (206) 466-5458                                                                                          

Seattlencc@gmail.com