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"We are not your competition. We are your specialty destination — the surgical resource your most complex patients have been waiting for."
IWish Referral Philosophy · CSRH
Common Referral Reasons
When to
Refer a Patient
We offer a direct physician contact line for referring providers who need to speak with Dr. Bahnmiller about a complex patient — because your clinical questions deserve a physician-level answer.
Richland, WA — Tri-Cities
Why Partner With Us
What Makes IWish
Different for Your Patients
01
Board-Certified Physician Surgeon
IWish handles exclusively complex intimate health, sexual function, and cosmetic or restorative gynecologic procedures. We return your patients to you after specialist evaluation — strengthening your care team, not replacing it.
02
The Only Center of Its Kind in SE Washington
No other provider in the Tri-Cities region combines board-certified gynecologic surgery, sexual health medicine, and cosmetic procedures under a single physician-led specialty institute.
03
Consultation Summary Returned to You
Every referred patient receives a comprehensive evaluation. A detailed consultation summary is returned to the referring provider — keeping you fully informed and integrated in your patient's care.
Common Referral Reasons
When to
Refer a Patient
Vulvar Pain Disorders
Vestibulodynia, vulvodynia, and chronic vulvar discomfort not adequately addressed with standard therapies — including cases that have failed multiple prior treatments.
Clitoral Adhesions
Adhesions secondary to Lichen Sclerosis, chronic inflammation, or congenital causes — requiring specialist evaluation and potential surgical release.
Vulvar Dermatologic Disease
Complex presentations of Lichen Sclerosis, Lichen Planus, and chronic vulvar inflammation requiring subspecialty management beyond standard dermatology or OB/GYN care.
Labial Hypertrophy
Symptomatic labial enlargement causing functional discomfort, hygiene concerns, or significant quality-of-life impact — surgical evaluation and correction available.
Persistent Sexual Dysfunction
Patients with hypoactive sexual desire, arousal disorders, orgasmic dysfunction, or PGAD not responsive to primary care management — requiring specialist evaluation and multidisciplinary treatment.
Postpartum or Post-Surgical Anatomy Changes
Patients experiencing functional or anatomical changes following childbirth or prior pelvic surgery — including scar tissue, prolapse symptoms, and structural distortion.
How It Works
The Referral
Process
Submit Referral
Use our secure online referral form, call our direct physician line, or fax patient information to our intake team.
Patient Contacted
Our team reaches out to your patient within 48 hours to schedule a comprehensive consultation with Dr. Bahnmiller.
Specialist Evaluation
Dr. Bahnmiller conducts a thorough physical and clinical evaluation, develops a personalized treatment plan, and discusses all options with the patient.
Summary Returned
A detailed consultation summary is sent directly to you — keeping your care team fully informed and maintaining continuity of care.
Regional Referral
Center
for Women's
Intimate Health
The Institute for Women's Intimate Surgery & Health welcomes referrals from physicians and healthcare providers seeking specialized evaluation for patients with complex vulvar, vestibular, or sexual health concerns.
Institute for Women's Intimate Surgery & Health
Expertise in Intimate Wellness & Surgical Precision.
Dr. Daniel Bahnmiller, DO
Women's Intimate Health & Cosmetic
Gynecologic Surgeon
Founder, IWish at CSRH
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Procedures
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A Division of Columbia Shores Regenerative Health