"When you look outward for answers, you eventually realize that you can’t find them there. You have to look inward, and take a journey of discovery that takes you in directions you haven’t expected"

 

                                   – Dr. Brene Brown

New Patients

 

 

New Patient Forms

 
Please complete the following forms prior to your first appointment. If you are unable to print these forms, you are welcome to arrive 30 minutes early, and our receptionist will provide these forms to you.
 
• All patients:
  Patient Registration
 
• Adult patients:
  Adult New Patient Health Information
 
• Minor patients
   (to be completed by parent or legal guardian):
   Minor Patient Health History Form
 

Payments Methods

 

Everett

Cash

Check

 

Kirkland

Cash

Check

Visa

Master Card

 

 

Cancellation Policy

Cancellations must be made within

24 business hours.

 

Everett

Please call:

Cell: 732-233-1898

 

 

Kirkland

Please call:

Phone: 425-821-1810