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

Contact Us – The Seattle Facial Plastic Surgery Center

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

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

Patient Forms

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  • 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

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