Aberdeen Primary Care
  We Listen...We Care

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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.

adobe reader

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.

Pre-participation Sports Physical Exam - courtesy of the Washington Interscholastic Athletic Association. Please fill out the history questions prior to your appointment. Please wear gym shorts (or bring them with you).

 
Special Note               

If you want to make changes in your health, then you must do something different.

Our passion is working with individuals who choose to do what it takes to be healthy.

Location:
Harbor Medical Surgical Building
611 North F Street
Suite 202
Aberdeen, WA 98520

Phone: 360-538-1800
Fax:     360-538-1700

Hours:
We are open Tuesday through Friday.
8:30 am to 5:00pm

We are closed 12:30-1:30pm daily for lunch.

For Schedule changes, visit this page.