Patient Forms

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

Medical Records Release (From OlyDerm)

Medical Records Release (To OlyDerm)

Consent to Treat Minor

Demographic Information

Health History

Notice of Privacy Practices

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

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