Points of Origin Intake Forms
Our office is usually open from 8:30 a.m. to 6:00 p.m. We answer the phone only between 9 and 5. Your call is very important to us. Please call during the following Office Hours: Monday: 9:00 a.m. - 5:00 p.m. Tuesday: 9:00 a.m. - 5:00 p.m. Wednesday: Closed or Variable Hours Thursday: 9:00 a.m. - 5:00 p.m. Friday: 9:00 a.m. - 5:00 p.m. (360) 449-4500 We Welcome Your Call When you call, let Hiroko, our valued receptionist, know whether you are scheduling with Peter or Lisa. You may download your "Welcome Packet" which contains important information for you to fill out before your first appointment. Simply click on the appropriate document links below and print them out.
Welcome Packet For Teenagers, Adults & Seniors (13 years and older) open and print these 5 forms: - Welcome Letter - Read only
- New Patient Intake Form - Fill out and bring with you
- Adult Consent Form - Read, sign and bring with you
- Financial Policies Form - Read, sign and bring with you
- Financial Agreement Regarding Health Insurance Billing - Read, sign and bring with you if you have insurance coverage*
Welcome Packet For Pediatric Visits (13 years and younger) download these 5 forms:- Welcome Letter for Parents - Read only
- Pediatric Intake Form - Fill out and bring with you
- Pediatric Consent Form - Read, sign and bring with you
- Financial Policies Form - Read, sign and bring with you
- Financial Agreement Regarding Health Insurance Billing - Read, sign and bring with you if you have insurance coverage*
Insurance Coverage
We are currently listed as preferred providers with the following insurance companies:- Premera Blue Cross
- Regence Blue Cross
- Lifewise
Points of Origin Scheduling, Office Hours & Office Policies
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Thank you.We look forward to seeing you soon! Peter Hanfileti, MD & Lisa Hanfileti, LAc
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