Forms & Policies

Clinic Information

Welcome to Our Practice – McMinnville
Welcome to Our Practice – Salem
Welcome to Our Practice – Silverton
Welcome to Our Practice – Woodburn

HIPAA and Records Release

HIPAA Consent (Authorization for Release of Information)
HIPAA Privacy Notice
Health Records Release Authorization

Medical History

Patient Medical History Form

Patient Registration

Patient Registration Form
Policies and Procedures for Patients
Privacy Notice Acknowledgement Form
Financial Responsibility Policy and Acknowledgement