New Patients

Please complete all forms below using the following steps to continue the registration process:

Click the icon below open the form

Print the file or edit on your computer


Fill out all forms

Fax or mail to the address listed on the right

(541) 323-3794


PO Box 520

Redmond, OR 97756

Click the icon below to download the file.

Patient Contract

Health History

Patient Information

Assignment & Release

Practice / Patient Policy

Notice of Privacy Practices (Information Only)

Acknowledgment of Privacy Practices

Authorization to Obtain Previous Medical Records

Chronic Care Management