Call us today: 541-425-5311

Please print out and complete the following forms. Please bring to your first appointment. Thank you!

Forms

• HIPPA
  

• HIPPA Consent Form
  

• Registration & Consent for Treatment Form
  

• Medication List Form
  

• Patient Health History Form                                For FIRST time patients, returning patients please update, supplemental forms to be completed at office. 
  

• ​Release of Information Form
  

• Insurance Benefits Questionnaire
  

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