| Many Seattle Healing Arts practitioners use their own patient forms to gather information about medical history, current health issues, and so on. Some practitioners offer forms that can be downloaded, and you can get them here.
Click a form link below to view a document, then print it and fill it out (you cannot fill out forms online). You can also save a document to your computer.
You can also click a practitioner name to view details about them.
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Second Floor Practitioners |
Patient Registration Form Health History Form
Privacy Acknowledgement Form
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Kevin Connor, ND, LAc |
Treatment Consent Form
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Trina Doerfler, DC, ND |
About Neurofeedback
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Christiane Elsbree, MSW, LICSW |
Disclosure & Client Agreement
Patient Intake Form
Insurance Form
Parent Handout
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Takla E. Gardey, MD
Angela Heithaus, MD, PS
Martina Koller, MD |
Adult Health History Form Child Health History Form
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Zhi-Ping C. Kolouch, LAc
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Patient Registration Form
Medical History Form
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Mali Piottin, LMP
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Patient Information Form
Health Information Form Functional Rating Index Form
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