For New Patients
Thank you for visiting our website.
If you are interested in scheduling an appointment with either Dr. Seligman or Dr. Lecovin,
please call the clinic at 425.646.4747 and we will try to accommodate your schedule.
Please read our insurance page to learn more about your benefits.
Please print all of the new patient forms below and have them completed for your initial visit.
- Patient Information ( PDF )
- Patient Insurance Benefits ( PDF )
- General Insurance & Financial Policy ( PDF )
- Informed Consent ( Dr. Seligman PDF ) ( Dr. Lecovin PDF )
- Privacy Practices ( PDF )
- Health History ( PDF )
Additional forms (not required):
- Records Release ( PDF )
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