Registration Forms

Registration Forms

Use the links on this page to print your enrollment forms. You can enroll at any time. If you have questions about the forms please contact us.

Steps to become a patient at Swedish Family Medicine - Ballard:

1. Please read our privacy policy. See the Notice of Health Information Practices in your language of preference here

2. Print and complete the following forms.
3. When you completed all the forms you can fax them to 206-297-5151, mail them to us or bring them by the office Monday through Friday, between 8 a.m. and 5 p.m. No appointment is necessary to enroll.

Swedish Family Medicine - Ballard
1801 N.W. Market St., Suite 403
Seattle, WA 98107
206-297-5100  (phone)
206-297-5151 (fax)


Contact Information

Swedish Family Medicine - Ballard
1801 NW Market Street, Suite 403
Seattle, WA 98107
Phone: 206-297-5100
Fax: 206-297-5151
Monday-Friday, 8 a.m.-5 p.m.
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Patient Resources


MyChart lets you manage your health care from a computer or smartphone, 24/7



Get first aid and parent advice on the go with Swedish Kids Symptom Checker app, now available for iPhone and Android. Download the free app here.

Health Classes



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Enrollment Forms

Print and fill out your forms prior to your first appointment here.


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