Intake Forms

We have newly created an online intake form system. Please let us know if you are having trouble with it. Please be advised that this form doesn’t work with Internet Explorer (IE) 6. We have had reports of a few problems on iPads and older versions of Safari. We are attempting to track the problem and if you do experience a problem please let us know what you were doing and your browser so that we can determine the cause.

 

Below are links to PDFs for the necessary forms for your first appointment, as well as Driving Directions for your convenience.  Please fax the forms to us at 503 546-0145 at least 24 hours prior to your appointment. Thank you!

Intake Forms for New Patients

Intake Form for ages  6 to adult

Intake Form for children 5 and under

 Insurance Verification Forms

 

Other Forms