On this page you will find various forms you may need when you
come in. Some of these forms can be filled out online, then printed
out (for example, the Washington State Disability Parking Permit).
To save yourself time, print these forms out and have them filled
out prior to your visit.
Most of these forms require the free Adobe Reader. If you need
the Adobe Reader, click the image below to download it.

Aberdeen Primary Care Forms
Registration Form
Health History Form
Release of Information
Privacy Policy
Other
Useful Forms
Disabled Parking Application for individuals - WA State
http://www.dol.wa.gov/forms/420073.pdf
* Please note, APC follows the guidelines for these permits. Please
do not ask for a permit if you do not qualify.
Depression Screening Tool - Feel free to
print this out and bring it with your for your appointment
Health Care Power of Attorney/Advanced Directive - for
WA State
Physicians Order for Life-Sustaining Treatment (POLST)
- For further information about the POLST and how to best utilize
it, please discuss it during your visit to the office and/or
visit POLST.
Commercial Drivers License Exam - Are you
coming in for a DOT physical? Here's the form, along with the
rules. Please print and fill out page one, as well as your
information on the last page prior to your appointment time.
Preparticipation Sports Physical Exam - courtesy of
the Washington Interscholastic Athletic Association. Please fill
out the history questions prior to your appointment. Please wear
gyn shorts (or bring them with you).
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