We request you complete a Health History Questionnaire before a Well Child Check or prior to completion of forms for children 7 years and older.

Please remember to bring any forms you need completed by your pediatrician to your appointment. Complete as much of your forms as possible before your appointment, including those for school registration, special health conditions, medication taken at school, and sports participation:

The following are links to the various school districts of our patients.

Bellevue School District

Issaquah School District

Lake Washington School District

Mercer Island School District

Northshore School District

Renton School District

Riverview School District

Seattle School District

Snoqualmie Valley School District

New Patient

New Patient History Form