CLINIC FORMS

The 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.

Naches Medical Clinic and Highland Clinic currently have a waiting period of 6 months for new patient registrations. We apologize for the inconvenience and we look forward to being able to serve you and your healthcare needs in the near future.

Online Patient Registration Form – English/Spanish

Good Faith Estimate Program

Authorization to Release Patient Health Information to CHCW

Authorization to Release Patient Health Information From CHCW to External Entity