Patient forms and other documents.
Please download by clicking on the form you require.
- Acknowledge and consent form.
- Payment Policy.
- Authorization to release information.
- Authorization to release information to family.
- MVA (Motor Vehicle Accident) billing information.
* * * If you do not find a form you are looking for please call the front desk at 503.280.4555.
Insurance accepted at our clinic:
Please check with our front desk if your insurance is not listed below.
- Providence Health Plan.
- Providence Preferred Network.
- Regence Blue Cross.
- United Healthcare.