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  • Contact Us
  • Request an Appointment
  • Patient Records
  • Payments
  • Direct Primary Care
  • Our Providers
    • Daniel Repsold, MD
    • Brian Mabry, PA-C, MPAS
  • Foster Care Center of Excellence
  • Health Equity
  • Excelsior Family Medicine

We are Open

Our providers are here to safely serve you.
509-467-1100

  • About Us
    • Our Providers
    • Behavioral Health
    • Overview of Services
  • For Patients
    • Direct Primary Care
    • Forms
    • Telehealth Services
    • Payments
  • Commitment
    • Health Equity
    • Reviews

Forms

Thank you for completing your forms before your appointment.  Please send your forms securely by mail or fax. We accept forms through email, but please note that your connection may not be secure or private unless sent encrypted.

Mail Your Forms
3961 N Nevada St, Ste 202
Spokane, WA 99218

Fax Your Forms
(509)468-0173

Email Your Forms
info@familycarespokane.org

Patient Health History
Consent and Financial Responsibility
Demographic Form
Authorization for Verbal Disclosure
  • Notice of Privacy Practices

EXCELSIOR FAMILY MEDICINE
PH: 509-467-1100   FAX: 509-468-0173

Two Locations to Serve You
NORTH:   Northpointe Medical Center ~ 9631 N Nevada St., Suite 202, Spokane, WA 99218
WEST:   Excelsior Wellness Center ~ 3754 W Indian Trail R., Spokane, WA 99208
 


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