Patient Forms |
Click here to download patient information forms Please fill out before coming in |
There are 3 ways you can complete this form:
Method 1 Print the form out. Fill it out by hand, neatly using a dark blue or black pen Please have it in our office at least one week prior to your appointment to avoid the necessity of rescheduling.
Method 2 Fill the form out on your computer. You can enter data in the form using the free Adobe Acrobat Reader 9, which is the current version and available from Adobe at:
Some older versions may work but not as well Print the printed form out and bring or mail it in at least one week prior to your appointment
Method 3 Fill the form out on your computer. You can enter data in the form using the free Adobe Acrobat Reader 9, which is the current version and available from Adobe at:
Hit the submit button at the bottom of the form to submit the form electronically via email. Follow the instructions that show when you hit the button You can save a copy to your computer for you records |
Yakima Urology Associates, PLLC
