Online Registration Form
For your convenience, you may fill out your new patient registration form online. This completely confidential secure form will be sent via email directly to Tim Paine and will prepare us for your first visit. Please make sure you press submit at the end of the page or we will not receive your information.

Download Registration Form
You may also download your new patient registration form in PDF format. Please bring this registration with you to your first appointment or fax to us at 425-451-0655.

You will need Adobe Acrobat to open these files.