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New Patients

New patient forms and information

Before your appointment, download, fill out, and send completed form(s) addressed to New Patient Services by Submitting Online, Fax, Email, or Mail.

  • New Patient Registration Form
    General Information about you, your general practitioner, and insurance.
  • Patient Release of Information Form
    Form allowing Salish Cancer Center to provide protected health information (PHI) to an individual or entity authorized by patients.
  • Acupuncture Patient Form
    A few questions before your next Acupuncture appointment.
  • Patient’s Rights and Responsibilities
  • Salish Natural Products Policy

    Submit Your New Patient Forms

    Drop files here or
    Max. file size: 50 MB.


    Questions: Call New Patient Services at 253-382-6317.

    Mon-Thurs: 8 am to 5 pm
    Fri: 8 am to 12 pm

    • SUBMIT ONLINE: Fill out and download your new patient forms, then submit them online.
    • FAX: 253-382-6301
    • EMAIL: info@salishcancercenter.com
    • MAIL: Salish Cancer Center,  3700 Pacific Hwy E, Ste. 100, Fife, WA 98424.

    Schedule an appointment.