Yakima Orthotics & Prosthetics, PC

313 South Ninth Avenue

Yakima, WA  98902

(509) 248-8040

Fax: (509) 248-8709

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Forms

•  Patient Registration and Medical History

•  Medicare Payment Authorization

•  Financial Arrangements

Forms are in PDF format.  Adobe Reader© is required to view and print forms.

Copyright © 2006 Yakima Orthotics & Prosthetic, PC.