We love saving time, so we are happy to offer you the chance to complete all Registration and Health History forms:  Simply select and print from your computer. 

1.     Regular Insurance and Cash Patients

Registration Packet:Download & Print Forms

2.    Automobile Accidents

Registration Packet: Download & Print Forms

3.  Washington Workers Compensation Injury: Start with the Registration Form below, complete and bring in, we will have The State of Washington Claim forms ready for you on your first visit and we'll help you with every detail.

Registration Form: Download & Print Form

Registration Packet: Download & Print Forms

4.    Oregon Workers Compensation Injury: Start with the Registration Form below, complete and bring in, we will have The State of Oregon 827 Claim Forms ready for you on your first visit and we'll help you with every detail.

Registration Form: Download & Print Form

Registration Packet: Download & Print Forms

When you're finished, bring all information with you,

we're looking forward to seeing you.

Office Main Phone: 360-718-8240

Billing/financing: 360-831-7353

Office Fax: 360-718-8241

Billing Fax: 360-852-8133

Office E-Mail: Dr.NicholasPeck@Comcast.net

Billing E-Mail: EVCCBillingOffice@Comcast.net