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
By Appointment


Tuesday
By Appointment


Wednesday
By Appointment


Thursday
By Appointment


Friday
By Appointment


Saturday
Closed

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