In order to expedite your first visit to our office, simply download, print and fill out the following forms and fax them to our office at (541) 868-0932, or bring them with you to your visit. If you would like further information regarding our providers or the services we have to offer, please contact our office directly at 541-868-1876.

Patient Forms

Practice Information
New Patient Registration Packet
Registration Page
Problem List
Financial Policy
Payment Policy
Notice of Privacy Practices
Release of Records
Request for Confidential or Restricted Communication

We are proud to be members of LIPP, Lane Independent Primary Providers