Patient Information
New Patient Forms
All New Patients
Please Click here to fill in and submit our ONLINE new patient form. Follow the directions to the SECURE portal to load and fill in the 2 page form, then click DONE to send us the completed form.
Alternately, Download this PDF. Depending on your browser and OS you maybe able to fill in this downloaded form and print it, or just print it and fill it in with pen. Then bring to your first appointment.
Network of Columbia River Gorge Colleagues
Our Patient's Well-Being is Priority #1
PROVIDING INDIVIDUALIZED, PATIENT CENTERED CARE FOR THE OREGON AND WASHINGTON COLUMBIA GORGE
*Free Parking in back of building