Patient Registration Forms

Forms

Patient Registration and Medical History

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

Yakima

(509) 248-8040

Kittitas

(509) 925-7700

Tri Cities

(509) 943-8561

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Our patient care facilities are all accredited by the American Board for Certification in Orthotics, Prosthetics and Pedorthotics, Inc. (ABC). This means we have chosen to have our patient care centers measured against the most rigorous standards in the profession. We have the staff, equipment and expertise that ABC believes are important for the delivery of high quality patient care.