Medical Forms

Shorten your pharmacy visit by filling out a form in advance.

Don’t have a printer? No problem, you can fill out the form in person.

Patient Request to Access Protected Health Information (PHI)

This form is required for us to release your prescription data for your tax filing information, etc.
See below for more details.

General Vaccine Administration Form

Click here to download, fill out and bring with you to your appointment.

General Vaccine Administration Form – 18 & Under

Click here to download, fill out and bring with you to your appointment.

Patient Profile Form

Click here to download, fill out and bring with you to your appointment.

Need your patient profile for taxes?

There are two ways to access your protected health information.

REMOTE REQUEST

Download the Patient Request Form, and return it to us via:

Mail: 825 SE Bishop Blvd, Suite 301
Pullman, Washington 99163

Fax: 509-332-3341

Email a photo of your form to sidspharmacy@sidspharmacy.com

IN-PERSON REQUEST

Come into the pharmacy, request your yearly profile, and fill out the Patient Request Form.
You may also call ahead to speed up the process.

Get Directions
Have a question?

Get In Touch

Sid’s Pharmacy provides you with the care and service you have come to expect from Pullman’s community pharmacy.

Contact Us: 509-332-4608