New Patient Paperwork

Synergy Medical offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
9:00am - 6:00pm


Tuesday
12:00pm - 6:00pm


Wednesday
9:00am - 6:00pm


Thursday
12:00pm - 6:00pm


Friday
9:00am - 6:00pm


Saturday
Closed

Synergy Medical
10655 Northeast 4th Street
Suite 101
Bellevue, WA 98004
(425) 455-2225