Home
About Us
Our Physicians
Patient Forms

Phone:
503-439-8668
Fax:
503-439-8838
Office hours:
Weekdays
8 a.m. to 5 p.m.
Location:
21255 NW Jacobson Rd.
Suite 500
Hillsboro, OR 97124

Map & directions

We accept many health plans including:
Tuality Health Alliance
Regence BCBS
Providence Health Plans
Managed Healthcare Northwest
Medicare
Oregon Health Plan
First Health Network
Great-West Healthcare
Health Net
Lifewise
ODS
PacifiCare
PacificSource
PHCS
TRIWEST
United Healthcare
ATRIO

English

Patient Registration Form [pdf]

Patient Health Information Form [pdf]

Spanish

Inscripción del Paciente [pdf]

Paciente Nuevo - Historia Clinica [pdf]

Authorization to Obtain & Disclose
Medical Information
[pdf]

 

The forms listed above are in PDF format.  If you haven't installed Acrobat Reader on your computer, please click here to download and install the software.