Women's Health Forms

700 E Manitoba Ave, Suite 109
Ellensburg, WA 98926
509.933.8720
womenshealth
@kvhealthcare.org


Hours
8 a.m. - 5 p.m.
Monday - Friday

Specialty
Women's Health
Gynecology

Providers
Ginger Longo, MD
Teresa Beckett, ARNP, PA-C

For your convenience, we have made patient forms available for you to download.

Health History Forms

Adult patient
Teen patient

Release of Information Forms

Release to family member
Release to medical provider

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