Forms-If you are interested in becoming a new patient please call the office first. Thank you.

Please be aware that Dr. Stringer is not a primary care provider, and all patient's are required to obtain and retain a primary care provider.

Please do not print forms double sided

All forms below have to be printed single sided and filled out by hand, they cannot be saved or sent electronically.

For New Patients:
Please call the office prior to filling out a New Patient Packet.

Please print and fill out the New Patient Packet prior to scheduling your appointment and either email (we do nothing patient related through the email except these packets) it to us at :, fax to 509 943-1125, drop off in our mailbox outside the office door, or send to us via mail to 750 George Washington Way Ste 5, Richland, WA 99352. We require the new patient packet in its entirety, as well as the copy of the front and back of the insurance card, before we can enter your information. We will call you after it has been entered to schedule an appointment.

Please also refer back to the accepted insurances tab, or check with our office for what insurances we accept. Since Dr. Stringer does not see patients as a primary care provider, we only bill certain insurances.

After we have received your New Patient Packet, in its entirety, along with a copy of the front and back of your insurance card, we will process and enter the information and then give you a call to schedule. We are very small, so please allow several business days for us to process and enter your New Patient Packet. Please print packet single sided. Thank you.

New Patients:

*Please see the form below for information on our office policies and insurance practices, along with answers to many FAQ's.


 New Patient Packet-Adult img

*Cannot be sent electronically. Please send via fax or email.

 FAQ's-Office and insurance policies img

 Pediatric New Patient Packet img


Additional Office Forms:

(These forms are included in the new patient packet. You will not need to print these.)

 Medicare opt out form img
 Notice of privacy/HIPAA img
 Consent to Inform img

For Established Patients (required for all follow up appointments):

To be completed prior to your appointment and either emailed back to us at: or bring with you to your appointment. Cannot be saved or sent electronically. Must be printed and then can be faxed, scanned and emailed, or brought with you to your appointment.*

 Medical Symptoms Questionnaire img


These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free from here:

Thank you. We will look forward to serving you on your road to Optimal Health.