Patient Information Forms
Please send the completed forms to occmed@nwmedicalgroupwa.com
Employer forms.
Authorization for Services Form
This form must be returned to us at least one day in advance so that we can ensure we have the necessary supplies to provide services. This form authorizes us to perform other services, such as pre-employment physicals and drug screens.
Referring to Northwest Medical Group.
Referral Request Form
Please complete this form to refer your patient to us. Once completed, kindly fax the form and medical records to 509-380-9591.