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Authorization to Release Patient Health Information West Seattle Natural Medicine Clinic 3256 California Ave SW Seattle WA 98116 Phone: 2069381393 Fax: 2069225322 PATIENT INFORMATION Name: Date of
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Form Healing Tree West is a form used for reporting information related to healing tree services in the western region.
All healing tree service providers operating in the western region are required to file form Healing Tree West.
Form Healing Tree West can be filled out online or submitted in person with all the required information accurately filled in the designated fields.
The purpose of Form Healing Tree West is to track and monitor healing tree services in the western region for regulatory and compliance purposes.
Form Healing Tree West requires information such as the name of the healing tree service provider, services offered, location, and any certifications or licenses held.
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