Dr. Brian Windle
MD, FRCS(C), FACS
12800 Bothell-Everett Hwy
Suite 260
Mill Creek, WA 98208-6629
(425) 316 5080
fax (425) 316 5025

 

For plastic surgery in Seattle Washington
including breast augmentation,
tummy tucks, rhinoplasty and facelifts
 contact us today 

Providence Physician Group

NEW PATIENT FORMS

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For your convenience and to ensure a prompt check-in time for your scheduled appointment, please complete the following forms and submit via email to us.  You may also print a copy for your records. 

If you do not wish to email us these forms, simply complete on line, print and bring all forms with you to your first visit.

Registration Form

Health Information Form

Consent for Treatment Form

Friends and Family Authorization Form

 

 

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