10200 SW Eastridge St, Suite 205,
Portland, OR 97225.

Phone: 503.280.4555.
Fax: 503.280.4559.

Patient forms and other documents.

Please download by clicking on the form you require.

* * * 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.

  • Aetna.
  • Cigna.
  • Healthnet.
  • Lifewise.
  • ODS.
  • Providence Health Plan.
  • Providence Preferred Network.
  • Regence Blue Cross.
  • United Healthcare.