New Patient Form

Our online forms for new patients are currently unavailable, please reach out to our office via phone or email to request patient forms before your appointment if you would like to complete ahead of time. We look forward to seeing you for your upcoming exam.

To view and complete patient forms and our HIPAA policy, please click the links below.

Health Insurance Portability and Accountability Act
Patient Consent Form
Records Request
HIPAA Policy

No Show Appointments & Late Cancellations: Appointments cancelled less than 24 hours in advance and no-show appointments will be subject to a $50 fee; this fee will not be covered by your insurance company.

Our Office

9101 Bridgeport Way SW, Suite C
Lakewood, WA 98499
Phone: (253) 584-2020
Fax: (253) 588-0545

Our Hours

Monday: 9:00am – 5:30pm
Tuesday: 9:00am – 5:30pm
Wednesday: 9:00am – 5:30pm
Thursday: 10:00am – 7:00pm
Friday: 9:00am – 5:00pm
Saturday: Closed
Sunday: Closed