CLINIC PATIENT Resources

We want to make sure your clinic experience at OrthoWashington goes as smoothly as possible. To prepare for your clinic appointment, we encourage you to review and complete the following steps:

Step One - Insurance and Financial Arrangements

While we do our best to assist you any way we can, you are responsible for understanding your specific insurance coverage. Whether you have commercial insurance, Medicare, or Medicaid, we recommend that you contact your carrier in advance to clarify your benefits, determine if the doctor and the facility are both covered “in network", and determine if any pre-certification is required.

Click to read: Financial Payment Policy (PDF)

We accept insurance from most major carriers. However, there are some we do not accept. Contact your insurance carrier to verify your plan's coverage.

Click to read: Approved Insurance Carriers (PDF)

We will confirm your insurance coverage and contact you via phone and mail prior to you surgery to clarify what will be your financial responsibility, if any. When you have any questions, we encourage you to call our billing office at (425) 284-0660 or email us at billing@orthowashington.com.​

Step Two - Complete Appropriate Insurance Form

If you are a Medicare patient, please go to Step Three.

If you are a LifeWise insurance patient, please download, print, and complete this form: LifeWise Incident Questionnaire

If you are a Premera insurance patient, please download, print, and complete this form: Premera Incident Questionnaire

If you are a Regence insurance patient, please download, print, and complete this form: Regence Incident Report

All other patients , please download, print, and complete this form: Incident Questionnaire

Step Three - Complete Appropriate Clinic Forms

Please download, print, complete, and bring these forms to our office when you come for your appointment:

Click to download and print: Patient Registration (PDF)

Click to download and print: Patient Health History (PDF)

Click to download and print: Physical Therapy Authorization Waiver (PDF)

Step Four - Your Clinic Appointment

Be sure to arrive at our clinic on time to complete any outstanding paperwork and make final preparations for your treatment. Please bring your insurance card and photo ID. You will be asked to read our Notice of Privacy Practices and sign an acknowledgment of your receipt of this information in our office.

Click to read: Notice of Privacy Practices (PDF)

You may also be required to complete a "bubble form" questionnaire in our clinic. It is important for you to report any previously unlisted medications you are taking (including dosage and frequency) or changes to the dosage or frequency of medications you have already reported. It’s also important to inform us of any unreported surgical procedures.

We are dedicated to your care and healing.​

You may access patient forms, information, and discharge instructions from our website page: Patient Forms and Documents