If you’re not technologically savvy and prefer to fill out physical copies of our paperwork, you will find all the patient forms our clinic uses below. All paperwork must be turned in, preferably in person, to the clinic by at least 24 hours before your appointment. If we have not received your paperwork prior to your appointment, then we will have to reschedule. If you have any questions about the new patient paperwork, please feel free to call.

Descriptions

If you are an adult patient, or are the legal guardian of an adult patient, please fill out the Adult Patient Registration Forms packet. If the patient is a minor, please fill out the Pediatric Patient Registration Forms packet. If you are being seen for massage therapy, please also fill out the Massage Intake Form.

The Authorization for Use and Disclosure of Health Information is for obtaining or sending medical records to or from another institution. If you have no medical records to transfer for your physician at Yakima Integrative Health to see, then this form is not necessary.

The Online Proxy Consent is to allow a person who is not the patient have access to the patient’s online records. For example, this could be a spouse or other relative. If there is no need for anybody besides the patient to have an online portal account to access the patient’s record, then this form is not necessary.