• 1408 3rd St SE #200 Puyallup, WA. 98372
  • (253) 268-3345
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  • 1408 3rd St SE #200 Puyallup, WA. 98372
  • (253) 268-3345
  • Bill Pay
  • MyChart Login

Patient Forms

Please follow the link for the forms you wish to fill out. Forms will be electronically submitted to a member of our staff. We will contact you if there are any errors or issues.

  • New Patient Forms
  • New Patient IBA Forms (Medical Weight Loss Program)
  • Established Patient IBA Forms (Medical Weight Loss Program)
  • New Patient Behavioral Health Forms
  • Established Patient Behavioral Health FormsĀ 
  • CHI Behavioral Health Assessment Forms
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  • Telehealth Consent Form
  • Consent to Treat FormĀ 
  • Medicare Advance Beneficiary Notice of Non-coverage
  • Adult ADHD Self-Report Scale
HorizonView Health

Main Office:

1408 3rd St. SE
Suite #200
Puyallup, WA 98372

HorzionView Health West (Behavioral Health):

201 15th Ave SW
Suite C
Puyallup, WA 98371

Ph: (253) 268-3345
Fax: (253) 881-1490
Email: info@horizonviewhealth.com

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