Enrollment Forms

Contact us

Swedish Family Medicine - Ballard

1801 NW Market St.
Suite 403
Seattle, WA 98107
Fax 206-297-5151

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)