Download any required forms or informational documents here.
All files in PDF Format.

Forms

Information Packets

Download Adult Medical History Information File Size: 183.67 Kb  Download Acknowledgement Of Receipt Of Privacy Practice Notification File Size: 177.2 KB  Download Patient Registration Form File Size: 174.2 KB  Download Authorization To Leave Health Information By Alternate Means File Size: 171.5 KB  Download Washington State Advanced Directive File Size: 342.42 Kb  Download Authorization To Release Medical Records File Size: 191.61 Kb  Download Pediatric Medical History Information File Size: 161.68 Kb  Download Charis Cares Enrollment Pack File Size: 461.1 KB

Download New Patient Information File Size: 312.92 Kb  Download Notice Of Privacy Practices File Size: 96.0 KB  Download Financial, Payment, and Other Policies File Size: 365.56 Kb  Download Charis Care Member Services Guide File Size: 711.2 KB Document Sets (ZIP) You will need a program to unzip these files.  Download ALL INFORMATION PACKETS (Zip File) File Size: 1,379.06 Kb  Download ALL FORMS (ZIP File) File Size: 1,734.14 Kb