Seattle Natural Family Medicine

Please select the appropriate health history form for your first visit.  You may either print out the form and fill it out by hand or type directly into the form and then print it out and bring it to your visit.  Allow yourself plenty of time to fill out the adult forms- they are comprehensive!

Health History Form- Women

Health History Form- Men

Health History- Kids 1 year- puberty

Health History- Infants under 1 year

We look forward to meeting you!