• • About CBHO
  • About SCCA
  • Accomplishments
  • Community Involvement
  • FAQ
  • Privacy Policy
  • Disclaimer
• • Thomas Rado - MD, PhD
  • Arun Patel - MD
  • Basir Haque - MD
  • Iyad Hamarneh - MD
  • Soumya Donohoe - MSN, ARNP, AOCNP
  • Marlene SanFilippo - MSN, ARNP
  • Mitra Rado - MN, ARNP, AOCNP
  • Lynne Allen - MN, ARNP
  • Eric Gamboa - MD
• • Clinical Trials
  • Available Trials
• • Appointments
  • Patient Forms
  • Treatments/Procedures
  • Collaboration
  • Insurance Information
  • Prescriptions/Refills
  • Support Services
  • Testimonials
• • Contact Us
  • Referrals
  • Links
  • Clinicians Resource
  • FAQ

Your journey to fighting cancer just got shorter. Quality care right here where you live.

7360 W. Deschutes Ave.
Kennewick, WA 99336
(509)783-0144

Patient Forms

Are You New To CBHO?
Please complete the following forms and bring them with you to your appointment along with your insurance card.

Medical History

Health history about you and your family.

Medical History

Release of Information

This form allows us to release your medical information to individuals you designate.

Release of Information

Financial Policy

This form explains your financial responsibility.

Financial Policy

Race & Ethnicity

CBHO collects this information to serve you better. This form is optional. You may choose to decline answering.

Race & Ethnicity

Notice of Privacy Practices

Please read then complete the acknowledgement on third page.

Notice of Privacy Practices

FTC ‘Red Flag’ Rulings

This page is for your information only

FTC ‘Red Flag’ Rulings