Forms

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Patient Forms

Listed below are the forms for many common appointment types.  To help expedite your visit, please download and complete the appropriate form.  You may then either bring the form with you to your appointment, fax it to us at (503)563-5392, or email them to [email protected]

Employers: Sending a Service Authorization Form with your employee or faxing it ahead of time will streamline their visit and ensure they receive exactly the services you request. This form includes a map and directions so your employee can find us easily.
Request a Company Account Form
Service Authorization Form

Workers Compensation Injuries: For Workers Compensation (WC) injuries, please complete these forms prior to your visit.

Consent - Injury Care
Workers Comp Intake Forms

Immigration Forms: The following forms are required for all Immigration Exam visits.  Downloading and filling them out in advance will make your visit smoother and expedite the process.

Immigration Consent Form
Immigration Registration Form

Massage Therapy: Please fill out the following forms before your initial Massage Therapy appointment.

Initial Evaluation

Physical Therapy: Please fill out the following forms before your initial Physical Therapy appointment.

Initial Evaluation

DOT Exams: Before coming in for a DOT exam, please fill out the following forms.

Consent - Contracted Services
Patient Registration Information
DOT Patient Information

Respirator Exams: Before coming in for your Respirator Exam, please fill out the following forms.

Consent - Contracted Services
Patient Registration Information
Respirator Questionnaire