click-to-call
206-624-6200
THE SEATTLE FACIAL PLASTIC SURGERY CENTER
DR WILLIAM PORTUESE | 1101 MADISON ST #1280 SEATTLE, WASHINGTON 98104 | (206) 624-6200
The Seattle Facial Plastic Surgery Center - Dr William Portuese
Dr William Portuese - Board Certified Facial Plastic Surgeon in Seattle WA

Contact Us – The Seattle Facial Plastic Surgery Center

covid

Dr William Portuese
1101 Madison Street, #1280
Seattle, Wa. 98104

Tel:(206) 624-9113
Fax:(206) 624-0244
https://www.seattlefacial.com

Patient Forms

  • Click the link on the left to print a form directly from your web browser, or
  • Click the icon to download the Adobe Acrobat* version of the form.

intake form Patient Registration Form
system review System Review
privacy policy Acknowledgment of Privacy Practices
patient medical information Patient Medical Information
consent form Consent of Non-Secure Forms of Electronic Communication

* This requires Acrobat Reader or its browser plug in, which most current web browsers have pre-installed. If your browser does not have Acrobat Reader, you can get it for free; visit adobe.com to download the software.

Prospective surgical candidates must send proof of vaccination in with their paperwork

Dr William Portuese
Washington Ambulatory Surgery Center Association Washington State Medical Association American Academy of Facial Plastic and Reconstructive Surgery Real Self