New Patient Health History

You may preregister with our office by filling out our secure online New Patient Health History. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

• New Patient Health History Form
• Existing Patient Health History Update

2415 Pacific Ave S.E. Olympia, WA 98501
Phone: 360-943-4644 • Fax: 360-943-2534