18100 NE Union Hill Road

In order to complete any outstanding paperwork and/or process any required changes to your patient information, we ask that you arrive 15 minutes prior to your scheduled appointment time. We ask you arrive 30 minutes prior if you still need to complete the new patient forms.

• If you are a new patient with PHWE, please print and complete the New Patient Forms prior to your appointment.
• If you would like to authorize Proliance Surgeons to use or disclose your health information to another party, please print and complete the Record Release Form.
• If you have a child under the age of 18 years old and you will be authorizing another adult to attend your child’s appointment or authorizing the child to come to the appointment without an adult, please print and complete the Advanced Consent to Treat Minors Form.