Patient Forms
If you are a new patient, please go to the Patient Registration page to learn more about our patient registration portal, Phreesia.
Effective immediately, the fees for patient forms at Proliance Surgeons have been changed to $28 per form. This update aligns with the maximum allowable form charge rate under the Washington Administrative Code (WAC 246-08-400).
- Medical Release of Information Form
- Request to Send Medical Information
