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New Patient Registration
If you are a new patient to the clinic, or an established patient with address or insurance changes, please plan to arrive 30 minutes prior to your appointment to allow adequate time for updating your patient registration information. Please bring your insurance identification card, Labor & Industry claim number, or current Medicaid (DSHS) coupon, if appropriate. If your visit pertains to a motor vehicle accident, please bring any necessary motor vehicle accident claim information.

You may refer to the downloadable registration form for information required at the time of the appointment. You may also print the form and bring the completed form with you to your appointment.
DOWNLOAD >> Online Patient Registration Form
DOWNLOAD >> Authorization to Leave Personal Health Information
by Alternate Means
Please click here to download the Adult Health Questionnaire. For the sake of better patient care we ask that this information be updated every three years. If you wish, you may print this form and bring the completed form with you to your appointment.

For the PDF formatted document linked above, you'll need the Adobe® Acrobat® Reader to view and print them. Download a free reader now.
 
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"If you are a new patient to the clinic, or an established patient with address or insurance changes, please plan to arrive 30 minutes prior to your appointment to allow adequate time for updating your patient registration information."

Patient Testimonials

"Both the nurse and the physician were very thorough in their explanation of everything. They made what is normally a very uncomfortable experience very comfortable."

 
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