Deonne is back in the office the week of May 9th, then Elizabeth will cover while she is out of down until the end of the month.  I will be back every day we are open as of June 1st!

Please stay tuned.  Some exciting developments are happening.  Virtual visits are soon to be available for all current patients of Charis Family Clinic!

Dr.  Deonne, nurse practitioner, has completed an intensive university certificate on genetics and genomics for health care providers.  She can help you determine if you have an increased family risk of cancer or want to know how your genetics affect which prescriptions we can prescribe.  If you or someone you know would like to know more, make an appointment and come in to discuss your situation.  

Forms for NEW Insured and privately paying patients: 
Patient Registration Form, Adult (or Pediatric) History Form, Financial Form, Authorization to Leave Health Information by Alternate Means, and Acknowledgement of Receipt of Privacy Practices.
 
Forms for Sports physicals:  Sport physical form (patient completes the 2nd form)
 
Forms for NEW uninsured patients who wish to enroll in the Charis Care Plan:  Charis Care Member Services Guide, Charis Care Enrollment Pack, Financial Form, Acknowledgement of Receipt of Privacy Practices, and Authorization to Leave Health Information by Alternate Means.
 
Forms for flu shots only:  Flu Clinic paperwork (with or without insurance) and Flu screening form

Remember to bring the following to your first appointment:

  • Your insurance card (if applicable)
  • Your driver's license
  • Patient Registration Form 
  • Signed Clinic Financial, Payment & Other Policies Form (see Forms)
  • Signed Acknowledgement of Receipt of Notice of Privacy Practices Form (see Forms)
  • Signed Authorization to Leave Health Information by Alternate Means Form (see Forms)
  • Signed Authorization to Release Medical Information from Other Providers (see Forms)
  • Health history (see Forms

Charis Family Clinic
23601 Hwy 99, Suite A
Edmonds,  WA  98026

We are on Hwy 99 North of the Shoreline Costco, and TWO buildings North of the Family Pancake House across from Safeway.  We are located on the BACK side of the building pictured here.  Please park in the lower parking lot.

Charis Clinic building from the road
 


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