For an appointment, please call (360)385-5375.
We schedule our appointments over the phone, rather than email due to the rapidly changing nature of our schedule. Email requests, although speedy, are often times not quick enough to secure the slot desired.
Before your first visit
1. Please download and complete the appropriate intake form.
Adult Intake Form Please fill this form out if you are a new adult patient. (Patients over the age of 14 years old).
Pediatric Intake Form New patient intake form for children 0-14 years of age.
PAP – Gynecological Exam Intake Form For new patients who are having a female wellness exam.
Notice of Privacy Practices This Privacy Practices notification should be reviewed, but does not need to be printed or brought in with you to your appointment.
If you were an Origins Natural Medicine patient, please fill out these intake forms:
Dr. Alicia’s Transfer Patients Intake Form Patients who saw Dr. Alicia in her Origins practices should fill this intake form out.
Records Release, for Origins Natural Medicine (Dr. Alicia’s practice) If you are an Origins Natural Health patient, please fill out this form.
If you are unable to print these PDFs, please call our office manager at (360)385-5375, and we will send you an introductory packet by fax or mail. Otherwise, please arrive 20-30 minutes early for your appointment to allow time to complete the necessary paperwork.