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Want to save time when you come for your appointment? You can now download and print many of the forms that you might need to fill out directly from our Website!  Click on the PDF Icon [PDF Icon] to download as a PDF document.

Please print out the documents below, fill them out at home, and then bring the completed forms with you to your appointment.

New Patient Forms
  • Download as a PDF Document New Patient Registration Form  Please print this as a 2 sided form.
  • Download as a PDF Document Medical History Questionnaire
Allergy Testing Forms [Not For New Patients]

   Primary Office hours - Evergreen Clinic
   Monday - Friday 8:30 AM to 5:00 PM
   Closed from 12:00 - 1:00 for lunch


        


Everett - ENT
Clark Professional Plaza
5929 Evergreen Way
Suite 200
Everett, WA 98023
(425) 258-4361 Tel
(425) 259-5270 Fax

Everett - ENT
Sydney Plaza Building
15906 Mill Creek Blvd
Suite 102
Mill Creek, WA 98012
(425) 225-2630 Tel
(425) 225-2635 Fax