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Ellensburg Dental Care

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The Ellensburg Dental Clinic forms on this page are provided in Adobe PDF format, please download the form(s) you need, fill it in and return it.

If you need Adobe Reader to open the forms you can download it here.

English Registration Form

Spanish Registration Form

Clinics

  • CHCW Home
  • CWFM Yakima
  • CHCW Ellensburg
  • Ellensburg Dental
  • Naches Medical Clinic
  • Highland Clinic
  • Yakima Pediatrics
  • CWFM Residency
  • Senior Residential Care
  • Davis Health Clinic

Resources

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  • Notification of Privacy Practice
  • Notificatión de Prácticas de Privacidad

About CHCW

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Contact

  • Yakima CWFM
  • Yakima Pediatrics
  • CHCW Ellensburg
  • Ellensburg Dental
  • Highland Clinic
  • Naches Medical Clinic
  • Senior Residential Care
  • Davis Health Clinic

FTCA Notice

Community Health of Central Washington receives medical malpractice coverage provided by the Federal Tort Claims Act (FTCA).

Community Health of Central Washington recibe cobertura de negligencia medica proporcionada por la Ley Federal de Demandas por Ofensas (FTCA).

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