Enrollment Forms

Enrollment 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 enroll in 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
Swedish Ballard Campus
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.
Map & Directions

 

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Patient Resources



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


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

 

 

Enrollment Forms

 

 

MyChart

You can view your Swedish medical chart, receive test results, schedule appointments online and more.


 

 

 

 

Print our brochure.