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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

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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