Patient Forms
Patient Forms Packet
Please print and complete these forms before your appointment and fax them to our office or bring them with you to your appointment.
Individual Forms
If you need an individual form found it the packet above, please choose that form from the list below.
Medical Records Release
Please use the form below to authorize release of your medical records to Tri-City Dermatology from another medical practice.
Notice of Privacy Practices
For Referring Providers
Patient Center
Contact
- (509) 873-7140
- info@tricityderm.com
- 112 Columbia Point Dr., Suite 105 Richland, WA 99352