Instructions
Steps to Establish Care:

  1. Please call to confirm that we are contracted with your insurance carrier. 
  2. Our receptionists will be able to tell you which providers are currently taking new patients. 
  3. Please print off all pages of the "Patient Registration Packet" (or stop by one of our locations to pick one up)  *If you are a Medicare patient, print the "Secondary Payer" form located underneath the packet box
  4. Please print and read through the Clinic Documents available on the right. Our privacy policy is also available to read on the "Privacy Policy" drop down
  5. Please fill out each new patient form in it's entirety
  6. Please return ALL forms to a receptionist for timely processing


    **Incomplete packets will be returned **

Processing Your New Patient Paperwork:
Once we receive your completed application packet, we will reach out to your previous primary care provider to request your medical records. Once we receive outside records, we will call you to schedule an appointment. 

Your First Visit:
Please bring the following in so we can scan them to your patient account:
1. Driver's License or Photo ID
2. Primary Insurance Card
3. Secondary Insurance Card (if applicable)
4. Prescription Drug Card (if different from your insurance)

 Subsequent Visits
To comply with regulations, we must confirm the following at each visit:
1. Phone Number
2. Mailing Address
3. Primary Insurance
4. Secondary Insurance
5. Emergency Contact

You will also be asked to bring your medication bottles in with you for each visit, it's important for us to have the correct medications and dosages in your chart.  ​By bringing your medications in, you are taking charge of your own health and helping us ensure quality and safe care.

Please click on the "Resources" button to read about our 72 hour medication refill policy, co-payments, billing, urgent calls, appointments, test results, etc.

Prospective Patient Packet

These files are in a PDF format. 

If your computer cannot open these files, please
 click here if you wish to download adobe reader free.

Clinic Documents

New Medicare Patient

Additional Form

Call Us:  360.293.4343

Island Internal Medicine

La Conner Medical Center