Patient Forms

Online resources to make your life easier

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

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

Access your patient portal to update your information, send us photos, pay your bill, or ask a question.

Existing Patient Login


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

New Patient Forms

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 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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