Patient Forms

  • Insurance Information

    We are preferred providers for a large number of insurance companies. If you are not certain regarding insurance coverage, our billing staff can help you find out.

    Regional Employers

    We are preferred providers for the majority of companies within the Puget Sound area.

    The largest employers include:

    • Boeing
    • Microsoft
    • Retail Clerks
    • School District Employees (Including teachers, teaching assistants, administrative staff and custodians)

    Insurance Companies:

    • Aetna
    • Amerihealth
    • Azuris Northwest Health
    • Benefit MD
    • Blue Cross Blue Shield Boeing
    • Carpenters Trust
    • CIGNA
    • Ethix
    • Federal Blue Cross and Blue Shield
    • First Choice
    • Great West
    • Guardian Life
    • Hotel and Restaurant Employees Union
    • Labor and Industries (L&I)
    • LifeWise Health Plan (of Washington and Oregon)
    • Metropolitan Life
    • Mutual of Omaha
    • National Association for Self-Employed
    • North Star Administrators
    • Northwest Iron Workers
    • Northwest Laborers Employees Trust
    • Operating Engineers (Local 302 and 612)
    • Principal Insurance
    • PacifiCare
    • PHCS -- Private Health Care Systems
    • Premera Blue Cross (all plans including Heritage Plus)
    • Premera Blue Cross Microsoft Division
    • Premera Blue Cross School District Division
    • Providence Health Plans
    • Puget Sound Electrical Workers (PSEW)
    • Regence Blue Shield (Selections, Regence Northwest Health, RegenceCare)
    • Regence / Uniform Medical
    • Regence Federal Employees
    • Retail Drug Employees Trust
    • Sound Health and Wellness
    • Tri West health Care
    • United Healthcare
    • WPAS (welfare pension and administration services administrative)
    • Washington Employers Trust
    • Washington Teamsters Trust
    • Wausau Benefits
    • Zenith Administrators
  • Surgical Patient Information

    Preparing for surgery at Issaquah Foot and Ankle?  Please print and complete the appropriate forms below. Please call our office regarding your insurance questions. Insurance verification is recommended prior to your appointment.

    Surgical Patient Information Forms:

    Click on the links below to access the Surgical Patient Forms.  Please arrive 20 minutes prior to your appointment for Patient Registration and be sure to bring your completed forms with you. Thank you, we look forward to seeing you.

    Surgical Patient Forms

    Pre-Surgical History Form  
    Post Surgical Information  


    Scheduling and Cancellations: Please call our office to schedule an appointment. If you are unable to make your appointment, please notify us 24 hours in advance.

    What to bring to your appointment:

    • Insurance card
    • Names of your other doctors
    • List of all current allergies and medications, or bring them with you
    • Any online forms you filled out prior to your appointment
    • Recent medical records or x-rays will be helpful and may save you time and charges if you are seeking a second opinion or transferring your care

    When to arrive: Please arrive 20 minutes before your scheduled appointment time to complete any forms. We strive to stay on schedule. We value your time!

    *You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.


    After Your Visit

    After visiting us we appreciate your feedback and would like to stay in touch. Please let us know how your appointment was be reviewing us on any or all of these sites

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