Accessibility Tools

Patient Forms

When you come to our office, we want you to spend as much time as possible focused on your appointment and the reason you’re seeing the physician – not filling out paperwork. Completing the necessary patient forms ahead of time can help us streamline your appointment. Below are the common forms you may need to complete:

New Patient Information

Credit and Payment Policy

Notice of Privacy Practices

Information Consent Release Form

Common Medication List

Medical Record Release

Privacy Practices Consent Form

Recommended

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Contact USLocation & Directions

  • 785 E. Holland Ave. Spokane
    WA 99218
  • Mon – Fri 9:00 am to 5:00 pm
    Sat & Sun : Closed

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