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.

Bulletin Board



West Campus Clinic, Federal Way Pediatrics | C & C Medical Associates

710 S 348th Street, STE B, Federal Way, WA 98003

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Eastside Clinic, Bellevue Pediatrics | C & C Medical Associates

1940 116th Ave NE, Suite 200, Bellevue, WA 98004

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CDC Immunization Schedule

Babies and Young Children

(0-6 years)

Adolescents, Preteens, and Teens

(7-18 years)

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