North Island medical

Phone: 360-682-5444

  • Home
  • About Our Practice
  • Our Team
    • Mark Duncan, M.D.
    • Dan Fisher, M.D.
    • David Lemme, D.O.
    • Jessica, P.A.
    • Susan Jordan PA
  • Patient Forms
  • Our Location
  • More
    • Home
    • About Our Practice
    • Our Team
      • Mark Duncan, M.D.
      • Dan Fisher, M.D.
      • David Lemme, D.O.
      • Jessica, P.A.
      • Susan Jordan PA
    • Patient Forms
    • Our Location
North Island medical

Phone: 360-682-5444

  • Home
  • About Our Practice
  • Our Team
  • Patient Forms
  • Our Location

PATIENT FORMS AND RESOURCES

Patients Forms

 Please complete these forms and bring them with you to your first appointment: 

Patient Registration Form (pdf)Download
Health History (pdf)Download
Medication Record (pdf)Download
Authorization to Treat Minor (pdf)Download
Privacy Practices (See HIPAA links below) (pdf)Download

INSURANCE WE ACCEPT

INSURANCE WE ACCEPT

INSURANCE WE ACCEPT

  •  Aetna
  • Blue Cross/Blue Shield
  • Cigna
  • First Choice Health
  • L & I (Labor & Industries)
  • Medicare
  • Regence
  • United Health Care
  • Tricare
  • Kaiser  If you do not see a specific insurance provider, please call our office directly as we frequently make additions to this list. 

HIPAA:

INSURANCE WE ACCEPT

INSURANCE WE ACCEPT

Health Insurance Portability & Accountability Act of 1966

Privacy, Security and Electronic Health Records

Your Health Information Privacy Rights

USEFUL LINKS

INSURANCE WE ACCEPT

USEFUL LINKS

  • Island Drug
  • Linds Pharmacy
  • Whidbey General Hospital
  • American Diabetes Association
  • American Heart Association
  • Mayo Clinic
  • Medline Plus Medical Dictionary
  • WebMD

PRESCRIPTION REFILLS

PLEASE CALL YOUR PHARMACY TO ORDER REFILLS AND ALLOW 48 HOURS.

www.northislandmedical.org

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