For Patients

Bring in the following completed registration forms to expedite your visit.

For your convenience, and as a time saver at your office visit, please find any necessary forms below. Please download and complete these forms and bring them to your next scheduled appointment.

Family and Medical Leave Act

Valley OBGYN is here to assist you with the completion of your disability or FMLA forms. We have trained staff who work closely with the providers to complete and submit your medical leave paperwork to either your employer or disability company.

Completion of disability or FMLA forms takes approximately 7-10 days. Your paperwork can be submitted to our office by email, fax, mail, or you can drop it at the front desk of either of our locations. A $45 form completion fee will be collect at the time you pick up your completed form(s).

If you are needing FMLA paperwork completed by our Providers, the following information is required from you in order for you to complete your request:

  • Your portion of the form must be completed and accurate
  • You have signed the form
  • Please state how much time you are requesting off
  • If the paperwork is for a spouse or support person, please make sure their complete information is filled in and your first and last name and date of birth is also with the form
  • If you are wanting our staff to fax or email your forms to your employer or disability company, please make sure you have signed the release of information attached, OR if there is not one with your paperwork, please sign one of our Medical Records Release Forms

For Guidance on eligibility and benefits see the FMLA Fact Sheet


WA PAID FMLA FORM (Family Member)



1415 N Houk Rd, Suite A
Spokane Valley, WA 99216


(509) 232-3059



Insurance plans and coverage are becoming increasingly complex. We want to make sure that before you are seen as a patient at Valley OBGYN we are a participating provider with your insurance plan. Below is a list of some insurance we currently accept

Billing & financial responsibility

If you have questions regarding your statement, call our billing department at 509.924.1990 option 5. To make a payment online or to set up a payment plan, please use our Patient Login.

We accept all major credit cards through the portal.

Creative Anesthesia Solutions

Billing Contact: Cristina Echeverria Phone: (208) 525-2090


Billing Contact: Phone: (844) 384-2996


Billing Contact: Phone: (866) 697-8378


Billing Contact: Phone: (844) 697-4239

Hospital Affiliations
Hospital Information



  • Photo ID
  • Current insurance card(s)
  • Co-payment(s), if required

If you must cancel your appointment, we’ll be happy to reschedule at a more convenient time. We ask you to give us 24 hours advanced notice, providing an opportunity for another patient to be seen.

Depending on your insurance company, some services will require a copay and some will go towards your deductible. Copays, coinsurance and/or deductibles are collected at time of service.

For after hours (nights, weekends, Holidays) please call (509) 924-1990 and you will be directed to our answering service.

Your pharmacy can fax a refill request to our office at (509) 232-3059. You can also request prescription refills through the patient portal.

Unless there is a medical problem, you should have your first pelvic exam around the age of 21 or when you first become sexually active.

Yes! You can have a pap smear during your cycle as long as the flow is light and not heavy.

You may not need a pap every year, but it is still important for your health to have a yearly pelvic exam, for cervical cancer and breast health exam.

Andrea Stevens and the medical assistant who were in my appointment were both so kind and reassuring. Even my husband said he felt very comfortable in the appointment.

– Brook M

Great experience. I was nervous but WOW…I had no reason to be nervous. I felt valued and cared about. THANK YOU Dr. Prabhu!


This is my first pregnancy and I’m absolutely impressed. Every staff member is friendly, genuine and very knowledgeable


This was my first visit to your office! Dr. Sementi and her staff took great care of me and went above and beyond! Customer service is lacking in this world today, but not in your offices. Thank you so much for all assistance and excellent patient services!


Dr. Brown was so thorough and made us feel like we were his only patients. He took all the time we needed and went above and beyond by spending more time with us. He is so thoughtful and made us feel very important.