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

Pediatric Clinic, C & C Medical Associates

118 SW 330th Street, Suite 300

Quad Professional Builiding

Federal Way, WA 98023

Tel: (253) 878-5193

Fax: (253) 242-7169


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Hours of Operation


8:30 AM - 5:30 PM


8:30 AM - 12:30 PM