Patient Forms

Patient Forms:

 

Below is a list of all forms you will need to start as a new patient, if you have any questions please give us a call at 503-747-2021.

 

Welcome Form

Intake Form

Consent for Assessment and Treatment Form

Clinic Fees and Payment Policy

Assignment of Benefit Form

Medical Records Release Form

Supplements and Symptoms List

 

 

 

 

Use of these forms requires Adobe Acrobat Reader, version 9 or later. If you need it, here is a link to download Reader directly from Adobe:

Adobe Reader lets you read and print from any system any document created as an Adobe Portable Document Format (PDF) file, with its original appearance preserved. PDF files are compact and can be shared, viewed, navigated, and printed exactly as the author intended by anyone with Adobe Reader.