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Forms and Policies

Under Construction

Forms and other downloads

Everyone should fill these out for your initial appointment

Please fill this out if you have medicare
 

Fill out and give to current providers
to send your records to Dr. Clark

Other files

Call 206-756-1316,  or use the form under "contact" to arrange a conversation to discuss and set an initial appointment.

Please keep in mind that communications via email and the submission form on this site are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed. Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send.  This should only be used to arrange for a phone call to discuss and set an initial consultation, or ask general questions about the practice.  

© 2026 by Michael Clark.

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