Before your appointment with us, quickly and conveniently access patient forms from our practice.
To view the forms listed below, you may need to download Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.
We will do our best to process new patient requests within 5 business days. We receive an extremely large number of new patient requests each day, but these requests will be processed as quickly as possible. If you are not contacted within 2 calendar weeks, please contact our office by phone, at (541) 567-6434.
Please be aware that previous medical records will be required to assure that we can provide for your medical needs. Please request your previous records by filling out an ROI, Release of Information form and giving it to your previous provider.
Click here to view our New Patient Forms
Pediatric Developmental Screenings
When preparing for your child’s next well child visit, please select and print the age-appropriate form, fill it out completely, and bring the form with you to your child’s appointment.
Click here to view our Pediatric Developmental Screening Forms
General Patient Forms
If you are already a patient and would like to update your information, please use the forms attached below.
- Notice of Privacy Practices
- Patient Rights and Responsibilities
- Annual Patient History 0-17 (English) (Español)
- Annual Patient History 18+ (English) (Español)
- FHA Patient Information/HIPAA (English) (Español)
- Record Request Authorization (English) (Español)