Patient Forms

Below you’ll find forms that may be applicable to your primary or specialty care appointment or procedure. Complete and return them as requested by your care team before your UW Medicine hospital or clinic visit.

General UW Medicine

Advance directive forms

Healthcare directive

Medical records and authorization forms

New patient registration form

New patient registration form

Primary Care

Condition-related forms

New patient forms

Medication history (new and established patients)
New patient health questionnaire (adults)
New patient health questionnaire (pediatric)
Prenatal history (if starting pregnancy care)
Preparing for Your visit (new and established patients)

Pediatric Well Child Visit forms

Permission forms

Permission to Treat a Minor Without a Parent/Guardian Present

Sports physical forms

Telehealth visit instructions

Telehealth Visit Instructions

Specialty care

Autism care forms

New patient history form

Arthritis clinic forms

Anesthesia, procedure and surgery forms

Sterilization consent

Dermatology forms

Dermatology intake form

Hand, foot and ankle forms

Heart and cardiology forms

Infertility and reproductive medicine forms

Kidney transplant forms

Memory and brain wellness clinic forms

Psychiatry

UW Psychiatry Patient Documents for Telemedicine Visits

New Patient Forms – Outpatient Psychiatry Clinic
Provided are links to forms for patients who are seeing a provider at the UW Outpatient Psychiatry Clinic. Please complete these forms and have them handy to review with your provider.

Telehealth Patient Info Sheet and Zoom User Guide
Provided are links to the forms for you to review prior to your initial appointment.

Questionnaires
Provided are links to the forms that you may need for your appointment. Please complete these forms and have them handy to discuss with your provider.