Please be sure you have the following forms completed and in our office at least one week prior to your visit. If for any reason you have not received these forms, please notify us immediately
• Patient Demographic form
• Credit Policy form: Note that Yakima Urology requires a $100 payment prior to seeing the physician if you do not have insurance coverage. Also, there is a fee for NSF checks
• Medical information form (all pages)
All three of these forms are contained in our Patient Info Packet Form
linked at the top of the page.
If there are areas on these forms that do not apply to you, please put N/A so we know that you have not missed the question.