Patient Forms

Please follow the link for the forms you wish to fill out. Forms will be electronically submitted to a member of our staff. We will contact you if there are any errors or issues.

If you have questions regarding which forms pertain to your scheduled appointment, please contact our office at 253-268-3345.

New  Patients:

• General New Patient Forms
• New Patient IBA Forms (Medical Weight Loss Program)
• New Patient Behavioral Health Forms
• New Patient Nutrition Forms
• New Patient Aesthetics Forms (Botox & Filler)

Established Patients:

• Established Patient IBA Forms (Medical Weight Loss Program)
• Established Patient Behavioral Health Forms 

CHI Surgical Weight Loss:

• CHI Behavioral Health Assessment Forms

Behavioral Health for Minors:

• Behavioral Health Forms for patients 12 and under

General Consents:

• Telehealth Consent Form
• Consent to Treat Form 
• Medicare ABN (Advance Beneficiary Notice of Non-coverage)