The practice of Medicine
is an Art based in Science
~ Sir William Osler

Please print all forms. You may mail them back or bring them to your first appointment. To my former patients, I will need the completed forms to access your records from my previous location.

Patient Information
Privacy Notice
Receipt of Privacy Notice
Family Medical History
Family Medical History Page 2
Medical Release Form

©2007 PATRICIA MARTIN, MD | CAMPUS OFFICE PARK 1603 116th AVENUE NE, SUITE 111 BELLEVUE, WA 98004
PHONE 425.289.2809 | FAX 425.289.2811