Forms

Please fill out our new patient packet.

Patient Financial Responsibility Statement

HIPPA Notice

Download Notice

Descargar Aviso

Note

If you prefer, print out the completed form and mail or bring it in to:

Yakima Urology Associates PLLC
2500 Racquet Lane, Suite 100
Yakima, WA 98902
(509) 249-3900
Fax: (509) 573-9539