Take your first steps to improving your health and well being.
Call (503) 885-7600 to set up your initial appointment. Se Habla EspaÑol.
Print and fill out corresponding forms and bring them to your first appointment.
|FORM NAME: Patient Registration Form
Description: Patient contact info, auto/heath insurance info, referring provider.
Download Patient Registration Form
|FORM NAME: Patient Consent Form
ALL NEW PATIENTS
Description: Consent to be treated.
Download Patient Consent Form
|FORM NAME: Financial Agreement
Pertains: ALL NEW PATIENTS
Description: Financial Agreement outlining financial responsibilities
Download Financial Agreement
|FORM NAME: Privacy Policies
Pertains: ALL PATIENTS
Description: HIPAA Information and an explanation of how we ensure your privacy.
Download Privacy Policies
|FORM NAME: Privacy Acknowledgement
Pertains: Acupuncture Patients
Download Privacy Acknowledgement
|FORM NAME: Medical Records Release Authorization
Pertains: All auto accident claimants
Description: Patient authorization for the release of medical information to third parties
Download Medical Records Release Authorization
Make a list of health concerns and personal goals. What do you want to address with your provider?