Patient Forms

We welcome new patients to Clinic 5C. Before your first scheduled appointment, please download the appropriate forms below to print, complete and bring with you. If you have any questions or if we can provide additional assistance, please call us at 509-779-8495.

• Pre-Operative Health History Form
• Cosmetic New Patient Registration Form
• Dermatology New Patient Registration Form
• ÔPTIM New Patient Registration Form
• Medical Records Release Form