Patient Forms

This is your one stop source for ALL patient forms. Whether you are a new patient filling out paperwork for the first time or a returning patient with new contact information, you’ll find the appropriate forms here. Not sure what you need? Call ahead so our friendly staff can help you save time and come to your appointment prepared!

Injury Registration Packet
Download and fill out the form
Basic Physical Packet
Download and fill out the form
DOT Exam Forms
Download and fill out the form

If you have medical conditions that require a waiver (insulin/vision) please click on the link, print, and have your provider complete and bring with you to your scheduled appointment.

Visual Evaluation Form

Insulin Treated Diabetes Form

Primary Care Insulin Verification Form
Download and fill out the form

If you have medical conditions that require a waiver (insulin/vision) please click on the link, print, and have your provider complete and bring with you to your scheduled appointment.

Medical Applications and Forms

THW Service Order
Download and fill out the form
Respiratory Questionnaire (English)
Download and fill out the form
Respiratory Questionnaire (Spanish)
Download and fill out the form
Yakima Clinic Times
Toppenish Clinic Times
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