4302 SW ALASKA ST. SEA, WA 98116, ABOVE EASY STREET RECORDS
Please print these four forms: Informed Consent & Office Policies, Screening Questionnaire, JNM Contact Info Insurance Policy, New Patient Intake. They will likely take ~ 30 minutes to fill out.
Forms need to be received 24 hours before your First Office Visit or you will be cancelled. Dr. Kimball reads every word ahead of time and there is too much content to read immediately prior to your visit.
Here are your options for how to return the forms:
a. Fill out, scan or photograph and email back to email@example.com
b. Fill out and fax to 206-905-0696
c. Fill out and mail (must be received 24 hours prior, so this is the least desirable approach).
d. If you do not have a computer, we can mail you the forms and you can mail them back. This process will take a total time of likely 10 business days.
You will be instructed after the first visit regarding the following two forms.