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Femme Clinique
Our new address: 606 120th Ave NE Suite D104, Bellevue, WA 98005
New Patient Intake Form
For your first visit, please download the following three forms and bring the completed form with you. All forms must be completed before your appointment, or your appointment will be rescheduled.

Women's New Patient
"Download All Forms (ZIP)" include the four files below. Individual downloads are available below.
Men's New Patient
"Download All Forms (ZIP)" include the four files below. Individual downloads are available below.
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