New Patient Registration

We look forward to meeting you at your upcoming appointment.

Please download and complete the registration packet below, including initials and signatures where required.  You may bring the completed forms with you to your appointment or mail in your forms if completed at least 10 days before your scheduled appointment.

Registration Packet

The registration packet contains:

  • Welcome Letter
  • Registration Form
  • Health Questionnaire
  • Privacy Practice Acknowledgment (read Privacy Notice)

Larrabee Center for Facial Plastic Surgery
Attention: New Patient Registration
600 Broadway, Suite 280
Seattle, WA 98122

If you have completed the forms, please arrive 10 minutes early for your appointment.  If the forms are not completed, please arrive early enough to complete forms prior to your scheduled time.