Patient Forms

The forms contained here are for our currently enrolled patients. Please click the button below for more information and to access specific forms. If you have questions or need assistance, please contact us.

Apply for PrEP DAP
Apply for Gilead PAP/Copay Card
REMS Medication Acknowledgment
HIPAA Authorization

Patient Forms

Find a Quest™ Lab Near You

If you choose to visit a lab for your blood draw, follow the link below to find your closest Quest™ Laboratory. Appointments are optional but can help minimize any unexpected wait times.

Find Lab

Send & Receive Secure Messages

Our providers are here to answer your questions. Contact us and access your messages with Patient Fusion™.

Send & Receive Messages

Download Zoom™ App

Secure visits with your provider are managed through Zoom™, a video application that works on any device. Follow the link below to download the app for easy access to your visits.

Download Zoom

Washington State PrEP Resources

Need more information? Follow the link below for Washington State Department of Health’s website on all things PrEP.

PrEP RESOURCES

Learn More About Kelley-Ross

Interested in additional pharmacy services? Click on the link below to get to know us and how we serve our patients.

About Kelley-Ross