PLEASE NOTE THIS FORM MAY NOT LET YOU SIGN IN MOBILE VERSION ON A CELL PHONE- YOU MAY NEED TO VIEW IN DESKTOP VERSION ON YOUR PHONE OR USE LAPTOP TABLET OR PC
In office appointments:
Thank you for scheduling an in-office appointment for a psychological evaluation for your bariatric surgery.
This electronic paperwork must be completed at least 3 dyas before your appointmnet or your appointment will be canceled.
You must bring with your picture ID, your insurance card and your copay, if you have one.
If you would like to be put on a cancel list, please indicate in your email and this can only happen if we receive your paperwork asap.
Patients are responsible to call their own insurance to check if they have behavioral health for this visit.
If you are unable to keep your appointment, you must call us within 24 hours of appointment to cancel. You can call 253-268-3345.
If you do not make your appointment, you will be charged a $75 No-show fee automatically on the credit card added on file when the appointment was booked.
The HorizonView Health Reception Staff
Address: 1408 3rd St SE Suite 200, Puyallup, WA 98372