



Whidbey Community Physicians welcomes new patients. When you make a new patient appointment, you will be asked to arrive 15 minutes prior to your appointment to allow you time to fill out a New Patient Registration Form. Please bring your insurance card(s). A copy will be made for your file. If you would like to print a copy of the patient registration form, click on the link above to print.
Form and Paperwork:
Click here to download the Physical Exam Brochure
Click here to download the Patient Registration Form
Click here to download the HIPAA Family and Friends Form
Click here to download the Authorization to Release Medical Records
Click here to download the Notice of Privacy Practices Receipt and Acknowledgement
Click here to download the Notice of Privacy Practices
Click here to download the Health History Form