C & C Medical Associates Pediatric Clinic- New Patient Forms

New Patient Forms--English


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


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