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| Some Seattle Healing Arts practitioners offer patient forms that can be downloaded here. Forms are in PDF format (you will need Adobe® Reader to view them).
Click links below to download forms for your practitioner. Please print forms and fill them out. You can also save the forms to your computer and print them later.
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Michael Byrne, ND
Dean R. Chier, MD
Christian Dodge, ND
Amy E. Hobson, ND
Annastasia Kovscek, MD
Eva Miller, ND
W. Bruce Milliman, ND
Fernando Vega, MD |
Patient Registration form
Health History form
Patient Responsibilty Agreement
Privacy form
Privacy Practices notice
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Kevin Connor, ND, LAc |
Patient Registration form
Health History form
Patient Responsibilty Agreement
Privacy form
Privacy Practices notice
Consent form
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Trina Doerfler, DC, ND
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Patient Registration form
Health History form
Patient Responsibilty Agreement
Privacy form
Privacy Practices notice
About Neurofeedback
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Takla E. Gardey, MD
Angela Heithaus, MD, PS
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Patient Registration form
Adult Health History form
Child Health History form
Patient Responsibilty Agreement
Privacy form
Privacy Practices notice
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Martina Koller, MD
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Patient Registration form
Health History form
Child Health History form
Patient Responsibilty Agreement
Privacy form
Privacy Practices notice
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Zhi-Ping C. Kolouch, LAc, PhD
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Patient Registration form
Medical History form
Patient Responsibilty Agreement
Privacy form
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Karim Abdullah, ND, LAc
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Patient Registration form
Health History form
Patient Responsibilty Agreement
Cancellation policy
Privacy form
Privacy Practices notice
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Christiane Elsbree, MSW, LICSW |
Disclosure & Client Agreement
Patient Intake Form
Insurance Form
Parent Handout
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Mali Piottin, LMP
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Patient Information Form
Health Information Form |
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