Patient Forms

Online resources to make your life easier

The following forms are in PDF format. You can download the free reader here.

“Thanks to Krystle, I was able to fill out my information form prior to my appointment.”

— Olympic Dermatology medical patient, November 2017

Patient Forms:

 

Release of Medical Records:

We are happy to send your medical records to another physician as a courtesy. At your request, we can also make your records accessible through our secure patient portal at no charge. However, our office charges $1.17 per page for the first 30 pages of printed copies of medical records, and $0.88 per page for each additional page. RCW 70.02.010(37)

To release records, we must receive a written request from the patient, parent or legal guardian.  Please allow (15) fifteen business days to process the request. RCW 70.02.080.

If you have any questions, or need any additional information, please contact us at (360) 459-1700.

How can we help you?

Our Team

Our friendly, dedicated, and energetic team is committed to working with you to achieve your goals.

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Patient Portal

REACH US NOW to schedule an appointment, message us, ask questions and more…

Existing Patient Login

Appointments

Contact our office to schedule an appointment by calling 360-459-1700.

Contact Us

New Patients

Request a Free Cosmetic Consultation or Schedule an Appointment

Request Consultation

Financial Info

The cost of your treatment may vary depending on your individual needs and treatment plan…

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Pay My Bill Patient Portal 360-459-1700
424 Lilly Road NE
Olympia, WA 98506

Request a Free Cosmetic Consultation or Schedule an Appointment

Please complete this form to request an appointment or free cosmetic consultation. We will contact you shortly to complete scheduling.

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