Patient Intake Form

Save yourself a few minutes at your appointment by filling out the initial intake form. Just download, print, fill, and bring it with you!

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Patient Intake Form


Monday: 9AM–12:30PM, 2:30–5PM
Tuesday: Closed
Wednesday: 9AM–12:30PM, 2:30–6PM
Thursday: 9AM–12:30PM
Friday: 9AM–12:30PM, 2:30–5PM
Saturday: 10PM–12AM
Sunday: 12AM–12:3

(360) 726-6095

13317 NE 12th Ave
Suite 115 A
Vancouver, WA 98685