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New Patient Forms.
Bring your Health Insurance Card to the appointment.
Download, print and fill in all of these registration forms and bring them to your first appointment:
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Patient Information Form
(for Motor Vehicle Accident or Labor & Industries Claim, substitute the appropriate form below, instead of this one) -
Reason for Visit Form
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Payment Policy Form
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Agreement to receive Text and Voice Messages
(to receive appointment reminders by text or voice message) -
Authorization to provide Access to Healthcare Information
(to give permission for us to share your Healthcare Information with another person, such as a spouse or Power of Attorney)
Optional Forms
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Patient Information Form (Motor Vehicle Accident)
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Patient Information Form (Labor & Industries)
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Medical Record Release Form (if you are a new patient and want your former healthcare provider to send us your records)
For Your Information
-
Notice of Privacy Practices
(no need to print and bring this to your appointment)
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