Welcome to Amana Family Practice Clinic. We are excited to have you join our health care family. Please come to your first visit a little early so that we can fill out the information sheet. Also, please bring your insurance cards, your medications, and identification. Please print and fill out the information sheet by clicking on the link below.

Information Sheet

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If you are a new patient please read our privacy practices (hit the link below) and fill in the short form. When you are done please hit submit. Privacy Practices

Acknowledgement of Privacy Practices Click Edit Form to add form elements. You can enter a form description and instructions here. Full Name: I have read and understand the Amana Family Practice Privacy Policy as provided to me online.   I agree Other family members: Please list other family members: