Patient Forms

Our forms are provided in Adobe PDF format, and can be downloaded to print and complete manually to bring with you to your visit.

As a convenience, you can also complete the forms electronically and then send them by email to our office, or print and then fax them to us at 503-536-6411.

It’s best to first download the form to your computer. Right-click (Mac users, control-click) on the form title, and save the desired PDF form. Here are instructions for using the typewriter tool in the Adobe Reader™ software.

Medical Forms

• HIPPA (Health Insurance Portability Act) — Notice of Privacy Practices and Consent
• Medical Release
• Office Policies

Patient Intake Forms

• Adult — New Patient Intake form (18+ years old)
• Adolescent — New Patient Intake form (6–18 years old)
• Child — New Patient Intake form (0–5 years old)