Physicians Immediate Care

For your convenience, we have made all of our forms and policies available in PDF format. To open the files, you will need to download the Adobe Reader. Print the forms, fill out the necessary information from home, and bring it into one of our offices on your next visit.

New Patient Registration Form
Insurance Billing Statement
Financial Information Statement
Authorization for Release of Health Care Information
Notice of Privacy Practices

If you have questions, want more information, or want to report a problem about the handling of your protected health information, you may contact the PICMC Privacy Officer at:

PICMC Privacy Officer

310 Torbett Street

Richland, WA 99352

(509) 946-1695

If you believe your privacy rights have been violated, you may discuss your concerns with any staff member. You may also deliver a written complaint to the Clinic Director at our practice/health care facility. You may also file a complaint with the U.S. Secretary of Health and Human Services.

Physicians Immediate Care

"Where your good health always comes first."

For your convenience, we have made all of our forms and policies available in PDF format. To open the files, you will need to download the Adobe Reader. Print the forms, fill out the necessary information from home, and bring it into one of our offices on your next visit.