Welcome, new patients,

Below are registration forms including insurance information, permission to treat, privacy information, and clinical history forms for adults and children. Fill them out for the person who is the focus of your concern.

Download the Adult or Child forms below, fill them out, and bring them with you to your first appointment. Read the HIPPA policies and bring the signed Acknowledgement with you as well. Feel free to expand on any answers. If a question doesn't apply, write N/A or leave it blank.

If your insurance requires pre-authorization for this visit, please make sure you contact your insurance carrier or your primary care physician. Questions about insurance coverage or my practice can be directed to my office manager Mary Hanson-Spofford at 206-527-2266, ext 108. Feel free to call me as well if you have further questions - 206-957-4702 (voicemail)

I look forward to meeting you.

Download all the forms together here (click) or choose the ones you want below.

Adult Intake form

Adult intake questionnaire

Child Intake form

Child intake questionnaire

HIPPA Privacy Policies

Acknowledgement of receipt of HIPPA policies

Directions to my office

David C. Hall, MD
564 NE Ravenna Blvd
Seattle, WA 98115

Phone: 206-527-2266 (receptionist) or

Call me directly on my voicemail 206-957-4702

E-mail me (best to also leave a voice message)

Urgent requests page me at 206-998-4702
After hours and weekends, leave a message at 206-957-4702 then page Dr. Hall at 206-998-4702.