Stanton Health Clinic offers virtual visits. You can also reach us at 509-314-8722.

Who is referring?

Parent
Student
Nurse
Teacher/Educator
Counselor/Other
Administrator

Patient Information:

Student First Name:
Student Last Name:
Grade:
Best Contact Phone
Contact Name:
Referral Reason:
Regular Doctor/Clinic?
If so, Doctor/Clinic Name:
Comments: