home
About Us
Our Physicians
Patient Forms

Phone:
503-681-4145
Fax:
503-681-4146
Office hours:
Weekdays 8 a.m. to 5 p.m.
Location:
364 SE 8th Ave., Suite 205 Hillsboro, OR 97123

Map & directions


We accept many
health plans including:
Tuality Health Alliance
Regence BCBS
Providence Health Plans
Managed Healthcare Northwest
Medicare
Oregon Health Plan
First Health Network
Great-West Healthcare
Health Net
Lifewise
ODS
PacifiCare
PacificSource
PHCS
TRIWEST
United Healthcare
Home   |   About Us   |   Our Physicians   |   Patient Forms
 

English

Patient Registration Form [pdf]

New Patient History [pdf]

Medical History [pdf]

Spanish

Inscripción del Paciente [pdf]

Paciente Nuevo - Historia Clinica [pdf]

Historia Médica General [pdf]

Authorization to Obtain& Disclose
Medical Information
[pdf]

 

The forms listed above are in PDF format.  If you haven't installed Acrobat Reader on your computer, please click here to download and install the software.