Lakeside Family Physicians  
     
     

We ask new patients to complete a set of forms for their first appointment. It takes approximately 20 minutes to complete all the necessary paperwork. In order to facilitate completion of the forms you may download them here, fill them out at your convenience, and bring them to the appointment with you.
If you are unable to do this, we ask that you arrive about 20 minutes early for your first appointment to complete this paperwork. Please bring your medical insurance card and current medications with you as well.
The following forms and may be downloaded to your computer and printed.
NOTE: These forms cannot be completed online. Please print them out and bring the paper copy with you to the appointment.

  • New Patient Registration Form

    This form contains important billing and insurance information. Please complete and bring this to your appointment if you are a new patient.

     

  • Medical Records Release Form

    Authorizes the release of general medical records and protected health information to Lakeside Family Physicians from another provider. Please complete form and fax to (425) 395-0245.

  • Transfer Medical Records To Another Provider

    Grants release of Lakeside Family Physicians general medical records and protected health information to another provider. Please complete form and fax to (425) 395-0245. Please allow up to 4 weeks for processing.

 


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