Patients of Pacific Crest Family Medicine are seen by appointment only. Please call 509-972-1818 to schedule an appointment or click here to request an appointment online.
If you are a new patient, you will find forms below that you can print out at home and bring with you to your first appointment. Or you can pick up a forms packet at our clinic.
We ask that you arrive 15 minutes prior to your scheduled appointment for the completion of this paperwork. If you arrive late to your appointment, you may be asked to reschedule.
It's our goal to minimize the time you have to wait for your appointment. Occasionally, your doctor may be delayed, causing your wait time to be longer than usual. If this happens and you prefer not to wait, you may reschedule.
Once you've become a patient of Pacific Crest Family Medicine, please ask how you can sign up for our online patient portal. The patient portal gives you secure access to your health information including labs, diagnostics, statements and messages.
Patient Forms And Policies
For your convenience and prior to your first appointment at Pacific Crest Family Medicine, we'd like you to fill out some paperwork that you can print at home, fill out and bring with you to your appointment. For adults, these forms include: new patient form, new patient registration, adult health history, privacy practices acknowledgement, and policies on late arrivals and appointment no shows. For pediatric patients, the forms include: new patient form, new patient registration, pediatric health history, advanced consent to treat minors, notice of privacy practices and policies on late arrivals and no shows.
Click on the links below for the appropriate forms.
- Online Patient Registration Form
- Adult Health History
- Notice of Privacy Practices
- No Show
- Late Arrival
- Pediatric Health History
- Advance Consent to Treat Minors
Also Of Interest
- After Hours Clinic
- Laboratory Services
- Download Memorial's Notice of Privacy Practices
- En Español: AVISO DE PRACTICAS DE PRIVACIDAD