Referral Form

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Online Referral Form

We are located near the South Hill Mall in Puyallup (see map under “contact us”).   Our office address is:

4104 10th Street SE
Puyallup, WA 98374

Phone:  253-841-1943

Fax: 253-841-3670

Directions from Highway 512 E:Take the WA-161 south exit toward Eatonville/Mt. Rainier off of highway 512 E. Turn right off of the exit and get into the second traffic lane. At the third traffic light turn left at the Sheri’s onto 37^th Ave SE. Turn right at the third traffic light onto 10^th St SE and our office will be on your right about ¼ mile at 4104 10^th St SE

Directions from Highway 512 W:Take the WA-161 south exit toward South Hill/Eatonville off of highway 512 W. Turn right off of the exit at the traffic light onto 31^st Ave SW. Turn left at the third traffic light at the Sheri’s onto 37^th Ave SE. Turn right at the third traffic light onto 10^th St SE and our office will be on your right about ¼ mile at 4104 10^th St SE

Directions from Graham on South Meridian: Take South Meridian towards the South Hill Mall. Turn right at the traffic light onto 37^th Ave SE by Aaron Brothers and Starbucks. Turn right at the third traffic light onto 10^th St SE and our office will be on your right about ¼ mile at 4104 10^th St SE

Directions from Shaw Road: Take Shaw Road and turn onto 39^th Ave SE (Head west towards the South Hill Mall). At the third traffic light, turn left onto 10^th St SE and our office will be on your right about ¼ mile at 4104 10^th St SE.

Directions from Highway 167 South: From WA-167 S take the WA-410 E exit toward Sumner/Yakima. Then take the exit toward E Main Traffic Ave and turn right onto Inter Ave E/Linden Ave/E Main Ave. Use the left two lanes to turn left onto Shaw Rd E. Turn onto 39^th Ave SE (Head west towards the South Hill Mall). At the third traffic light, turn left onto 10^th St Se and our office will be on your right about ¼ mile at 4104 10^th St SE.