Find the latest forms and information in one convenient location. The information you provide on our forms will help us to get to know you better and will give you a better idea of what to expect before, during, and after your procedure.
Standard Forms and Information
Pre/Post Surgical Forms and Information
Pre/Post Treatment Instructions and Forms
COVID-19
We are open and committed to keeping you and our staff healthy.
The Polyclinic is taking the spread of COVID-19 very seriously. COVID-19 is impacting how we all live, work, and stay healthy. There is a lot of information about this virus, often changing rapidly. The Polyclinic is here to help you navigate this crisis and help keep you and your family healthy. In accordance with public health guidance we’ve made some important changes to our clinic and surgical operations to keep you and our staff safe.
United Patients
There are changes to the US Anesthesia Partners-Washington Contract with United.
Please be aware that US Anesthesia Partners (USAP-WA) is no longer in-network with United. USAP-WA provides anesthesia services for our ASC. This impacts UnitedHealthcare commercial products, but does not affect UnitedHealthcare Medicare Advantage Plan patients. Please note that USAP-WA currently participates with all other major insurance plans in Washington.
Kaiser Patients
There are changes to the US Anesthesia Partners-Washington Contract with Kaiser.
The Polyclinic uses US Anesthesia Partners (USAP) to provide anesthesia services at our Surgery Center. The Polyclinic understands that USAP is out-of-network with Kaiser as of March 1, 2021, so please ask your insurer if or how this might affect your coverage.
Hours & Directions
Hours: | Monday - Friday (8am - 5:00pm) |
Address: |
Nordstrom Medical Tower |
Phone: | 206.860.5582 |