Before visiting our office, please print and fill out the patient Registration Forms. Please bring the forms with you to the initial visit along with your insurance card so we can assist you with your insurance claim. Patients are responsible for payment for medical services. However, we will work with the insurance company to expedite your insurance claim. Please also bring your current ID and co-pay. For your convenience, Medical Records Release Forms are also available, if needed.

Registration Forms (pdf format)
> patient information registration form
> notice of privacy acknowledgement
> consent to leave message
> medication refill policy


Medical Records Release Forms (pdf format)
> form for Edmonds Women's Clinic to release to another party
> form for another party to release to Edmonds Women's Clinic