Printable:
New Patient Health History PDF
Doctors Backous, Anstead and Clinkscales are now seeing patients in the Seattle area at 515 Minor Ave, Suite 140, Seattle, WA 98104.
You will be receiving an e-mail/text message with a link to complete your registration. This will save you time and eliminate the need for you to complete paperwork when you arrive for your appointment.
If you are unable to complete registration before your visit, see one of our receptionists, and they will be happy to send you a new link. Patients are also welcome to bring a completed copy of the printable PDF version.
7320 216th St SW
Suite 140
Edmonds, WA 98026
425-673-3750 Directions76th Professional Commons
21911 76th Ave W
Suite 211
Edmonds, WA 98026
Swedish Mill Creek Medical Center
13020 Meridian Ave S, 2nd Floor
Everett, WA 98208
Ear Nose Throat & Allergy Associates
104 27th Ave SE
Puyallup, WA 98374
entpuyallup.com
*Dr. Backous only
First Hill Medical Building
515 Minor Ave (on the corner of Minor & James)
Suite 130
Seattle, WA 98104
Directions