Prior to your initial visit, please complete and send us the following via mail or drop off at the office:
- A completed Patient History Intake form (click here)
- A completed informed consent form (click here)
- A completed HIPAA Notice of Privacy (click here)
- A completed Waiver and Treatment Authorization Form (click here)
- All lab results, imaging reports and/or pathology reports (not actual images, only reports) from the past 2 years
- Any cardiac testing results (Echocardiogram, stress tests)
- Any records from specialists you have seen
- A list of all current medications
- A list of all current supplements
The health and consent forms are necessary to schedule your initial visit.
Please sign a release of records from your previous health provider and pick up your medical records in person. It is strongly recommended you do this prior to your initial appointment so we have all appropriate records to evaluate your case.
Mailing and Physical Address:
AM Medical LLC
715 E Yelm Ave, Suite 5
Yelm WA 98597