Patient Forms
Please read the Patient Office Policy and the Privacy Policy prior to signing and completing the forms listed below. Please bring the completed forms with you to your first appointment.
Click to download: Signature Sheet
Click to download: Patient Intake Form
Click to download: Cancellation Policy
Medical Release Form
It is very helpful for our providers to have information about your prior skin health history. Please download and fill out the “Medical Record Release Form” and send/fax it to your previous physician. Please call prior to your appointment to verify that we have received your records. This will enable our providers to provide you with the best possible care at the time of your visit. Thank you!
If you were a patient of Dr. Linnell’s at Pacific Dermatology & Cosmetic Center, fax the form to: 425.970.4565. Please call them at 206.859.5777 to make sure the form was received.
Click to download: Medical Release Form
If you need our records sent to another office, please download and fill out the form below.
