At Proliance Hand, Wrist & Elbow Physicians we want to make scheduling appointments as simple as possible. One of our knowledgeable receptionists will help you contact the physician best trained to meet your specific needs. The fastest way to make an appointment or to change an existing appointment is to call our main numbers:
- Kirkland: +1 (425) 823-4224
- Bellevue: +1 (425) 283-5230
- Issaquah: +1 (425) 283-5230
- Redmond: +1 (425) 823-4224
- Bothell: +1 (425) 823-4224
New Patient Registration Forms
Our patient registration forms are available to download, print and fill out at your convenience. If you are a new patient with PHWE, please, print and complete the forms below prior to your appointment:
New Patient Forms (click here to open and download)
If you would like to authorize Proliance Surgeons to use or disclose your health information to another party, please print and complete the form below:
Record Release Form (click here to open and download)
If you have a child under the age of 18 years old and you will be authorizing another adult to attend your child’s appointment or authorizing the child to come to the appointment without an adult, please print and complete the form below:
Kinship Cargiver’s Declaration of Responsibility for a Minor’s Healthcare (click here to open and download)
As a new patient with us, we ask that you please arrive 15 minutes prior to your appointment. To make your check-in process as smooth as possible, please have the following items with you:
A driver’s license or other photo ID with your current address.
Digital or hard film copies of your X-rays, MRIs, or any other diagnostic imaging or testing on the extremity we will be treating you for. Copies of these will need to be picked up from the office they were performed at and brought to your appointment with us. These are very important for your initial visit!
Consultation notes from other providers you have seen for this issue, including the reason for that consultation.
A current list of your medications and any allergies to medications.
Your insurance card that we will be billing for your visit. Please, make sure that the insurance company address is also available for our records.
Note: Please, contact your insurance company before your appointment to verify if we are a preferred provider with your plan. If your insurance company requires a referral, this must be obtained PRIOR to your appointment.