(509) 228-1000 WA
(208) 754-3100 ID

Patient Forms

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Here you will find important forms and quick links to other information on our web site that will help you prepare for your visit at Cancer Care Northwest.

 

Cancer Care Northwest New Patient Forms

Please download and fill out the forms below that relate to you. Bring the completed forms to your first appointment. Not all questions may pertain to you, but we ask that you complete all forms to the best of your ability. This information helps us provide the best possible care based on your current and past general health and any related family history. We encourage new patients to review the necessary forms ahead of time in order to be fully aware their medical background and resources they will be offered as a patient at Cancer Care Northwest. Click on the links to download:

 
PET/CT Forms 

(Intended for patients already schedule for a scan)

 

Release of Patient Information Form

 

Additional Information

 

Quick Links