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Patient Forms

Below are the forms we provide/use at Madrona Dermatology. Please read them to better understand your rights and responsibilities as a patient, our office policies and your agreement with Madrona Dermatology.

 

Welcome to Madrona Dermatology

Notice of Privacy Practices

Financial Policy

Credit Card on File

Patient Agreement

History and Intake

Advanced Consent to Treat a Minor Patient

Financial Agreement for Cosmetic Procedures

 

If you have any questions about these forms, please do not hesitate to call our office.