Find common forms, important policies and information, and quality care all in one convenient place!
PATIENT FORMS AND INFORMATION
Find and Download Commonly Used Forms and Information
As a convenience to our patients, we have posted in this section some of the forms most commonly used in our practices. You can also find patient information related to patient care.
Frequently Asked Questions
Does Tri-State offer any financial assistance to patients?
Financial Assistance may cover necessary or emergency medical treatment received from a hospital or clinic. The level of assistance received is based on family income and the most current Federal Poverty Guidelines.
If you feel you are in need of financial assistance, please contact Financial Services at 509.758.4652.
What forms do I have to fill out in order to become a patient at Tri-State?
In order to become a patient with one of the Tri-State primary care providers, you will be asked to fill out the New Patient Form. That form is located under Patient Forms.
IMPORTANT: If you are looking to establish care with a primary care provider at Tri-State Clearwater Medical Clinic, you must complete and submit the "Tri-State Clearwater Medical Clinic New Patient Form".
What is a Patient-Centered Medical Home (PCMH)?
A PCMH is a care delivery model where a team of healthcare professionals work together to bring the focus back to what really matters - you. A PCMH is not one specific facility or location, but rather an approach that emphasizes whole-person care.
Under the PCMH model, patients participate in a care team led by a personal provider whose main goal is to provide comprehensive coordinated care for you and your family. With you at the center, your care team may involve a variety of individuals:
• Physicians, nurse practitioners, physician assistants, nurses and medical assistants
• Community health workers
• Rehabilitation therapists
• Behavioral health specialists
• And more
For more information, please refer to the Patient Forms and Information section above to download our PCMH brochure.
POLICIES AND REGULATIONS
Important Policies and Information
Quality patient care is our focus!
Tri-State Memorial Hospital participates in a nationwide Quality Improvement initiative through CMS (Centers for Medicare/Medicaid Services) and is compared to other hospitals. In many areas Tri-State Memorial Hospital scores are higher than both Washington state and National average.