Forms

Download any of the forms below by clicking on the appropriate title.


New Patient

New Patient Check List

This is a check list to help you make sure that you have all the necessary documents for your first appointment.


New Patient Packet

This packet contains all the forms you'll need as a new patient.  Please print  and fill out pages 7 through 14 to bring in to your first visit.


HIPAA

Privacy Policy

Olympia Pediatrics privacy policy.


HIPAA Policy

Visit the US Department of Health and Human Services website for a full description about what exactly HIPAA is.


HIPPA Acknowledgement Form

This form requires a signature to acknowledge that you have read and understand Olympia Pediatrics HIPPA policy.



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