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.