The materials posted on this website are for personal, non-commercial use only and may be downloaded only for personal use. Republication, retransmission or reproduction of any images is strictly prohibited.
Whidbey Community Physicians and South Whidbey Healthcare 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 for Whidbey Community Physicians
Click here to download the Physical Exam Brochure for South Whidbey Healthcare
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
