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Promoting true health and healing | New
Patient Forms 8555 SW Tualatin Rd Tualatin, OR 97062 503-691-0901 Clinic hours and appointments |
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To maximize the value of your first visit with one of our physicians it is to your advantage to download, print and fill out each of these forms to bring to your first visit. You can also fax ahead the new patient health history. New patient health history -- a comprehensive health history questionnaire that allows us to see your big picture and quickly focus on your chief complaint. It is especially helpful to have this completed form faxed or e-mailed ahead of your visit. Consent to treat - you authorize us to diagnose, prescribe and treat you Hippa statement - how we keep your private medical data private Office policies - our policies regarding payments, missed appointments, etc. Medical records release - we always like to have sent to us copies of all your laboratory reports from the past 12 months and any other information collected by other health care providers that pertain to the condition you are seeking our help with. This form is completed by you and submitted to the health care provider(s) who's records are to be sent to us. You need Acrobat Reader 5.0 or greater installed on your computer to download, view and print these forms |