Patient Forms

Additional Patient Forms


Below you will find additional forms that we use in our clinic. Feel free to download and fill out these forms at home to ease your first visit:



These forms are in PDF format which requires Adobe Acrobat Reader. Click Get Adobe Reader to download the free plug-in.


CDC Immunization Schedule

Babies and Young Children

(0-6 years)

Adolescents, Preteens, and Teens

(7-18 years)


Contact Information

Federal Way Pediatrics, C & C Medical Associates

118 SW 330th Street, Suite300, Federal Way, WA 98023


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Bellevue Pediatrics, C & C Medical Associates

1940 116th Ave NE, Suite200, Bellevue, WA 98004


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Hours of Operation

Mon-Fri

8:30 AM - 5:30 PM