Patient Forms

If you have medical records that you would like to have transferred to your new physician at One Sky Family Medicine, please fill out the form below and drop it off with us or with your previous physician.  This form can also be used when you need us to send records to another provider. Please note, if you are requesting records for a physician who is no longer practicing at OSFM (Drs Adams, Hamrick and Kneisl), and want them sent directly to you rather than to a new physician, we ask that you call the office at 206-363-5555 for instructions about payment. There is no charge for records sent to a new physician.

Records Release (PDF for printing) or Records Release (Word document for editing)  (updated September 2013)

Once your appointment is scheduled, please log on to your AthenaHealth Portal and “check in” for your appointment, including filling out the health history and reading and agreeing to the policies. When you come to the office, all you’ll need to do is the give the receptionist your insurance information!

If you are unable to fill out these forms online, you can print the appropriate forms below, fill them out, and bring them to your appointment. Only print these forms if you cannot use the portal!

Welcome to OSFM – an introduction to the following forms

Clinic registration and policies:

Patient Registration Form – fill out and sign

Late cancellation and missed appointment policy (updated December 2016) – sign

HIPAA Acknowledgement OSWA – sign

The following is our Notice of Privacy Practices, and is for your reference only- there is no need to bring a copy to your visit.

HIPAA Notice of Privacy Practices

In addition to the policies, please fill out a health history. Use only ONE of these forms. Again, if you use the portal, you can do this online and there’s no reason to print or fill anything out by hand.

Health history for an adult

Health history for a child

Health history for a newborn or infant