patient registration forms

Click Here to Register On-Line!(coming soon)
We've made it easier to register as a new patient!  
Simply fill out the following on-line form and your completely confidential, secure form will be sent directly to Dr. Brodie.
Use the Tab button on your keyboard to move to the next field.
Type in your name at the end of each document.
Press the submit button at the end of the form.
Print PDF New Patient Registration (coming soon)
If you prefer, you may print and fill out this form, then fax to us at (425)378-0220 or bring it with you to your first appointment. If you do not have Adobe Acrobat, click on the button below.





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