We are very excited for the opportunity to serve you.  In an effort to make this process easier and more convenient for you, we have our New Patient paperwork online and available for you to download.   If you prefer to complete this paperwork in our office, we are more than happy to provide it when you arrive.

Please call (503) 667-9491 to schedule your New Patient appointment.

  • If you do not already have Adobe Reader® installed on your computer, download it for free at the Adobe website.
  • Download the necessary forms, print them out and fill in the required information.
  • Bring your completed forms with you to your appointment.

Adult Intake Form

This is the initial intake form identifying your current complaint and health history. this is a 3 page form. Be sure to print out all of it!

Download New Patient Form

Insurance Verification Form

All insurance patients: Please fill out and submit the insurance form 24 hours prior to your visit so that we can verify your insurance benefits and coverage.  Our fax number is: 503-492-2048. If you prefer, you may call us with this information.

Insurance Verification Form

Motor Vehicle Accident Form

Auto accidents only: If you’ve been injured in a motor vehicle accident, please  complete this form in addition to the Adult Intake Form.

Auto Accident Intake Form