Patient Forms

Cascade Direct Care New Patient Forms

Instructions for all forms on this page.

  1. Click on the links to open the forms
  2. Print the forms
  3. Complete and sign the printed forms and bring them with you 15 minutes before your scheduled appointment time

CASCADE DIRECT CARE MEMBER AGREEMENT

ENROLLMENT FORM

PATIENT REGISTRATION

HIPPA ACKNOWLEDGEMENT

Existing and New Patient Forms

Please fill in the following form if you would like copies of your medical record or if you would like to allow another person access to your medical record or billing information

RELEASE OF RECORDS