2607 Bridgeport Way West, Suite 1A, University Place, WA 98466

Downloads

New patient forms to complete before your first visit. These can be filled in then printed.

PATIENT FINANCIAL RESPONSIBILITY - Fill In (pdf)

PATIENT INFORMATION SHEET (pdf)

HIPPA DOC 2020-fill in (pdf)

PACIFIC NW PRIMARY CARE Health Appraisal Fillin (pdf)

MEDICATION LIST-fill in (pdf)

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We are accepting new patients. Please call to see if your insurance is accepted.