This form allows us to request medical records from your previous doctors. Obtaining a comprehensive medical history is crucial to providing you with the best health care. Please complete one form for each of your previous doctors.
Please complete this form if you are currently taking any type of controlled substance(s). Examples of controlled substances include Morphine, Oxycodone, Hydrocodone, Dilaudid, Ativan, Xanax, and Valium. Please include prescribed and others.
The intention of HIPAA is to maintain the privacy of your health information. Your information is used to contact you, order medications, bill insurance, and coordinate care to name a few things.
This is an assessment for ADD/ADHD. There is a “Parent” form, and this should be accomplished by 2 different adults from where the child lives. There is also a “Teacher” form which should be accomplished by 2 different teachers at school. You will need an appointment to review these. Please drop them at the office in advance of the appointment for scoring.
This form is used to provide guidance for home management of asthma as it worsens or improves. This helps the parent adjust the medicine and decrease doctor visits.
Please complete this form if you are taking any type of controlled substance. Examples of a controlled substance oxycodone, Xanax, hydrocodone, Ativan.
This form allows more detailed instructions for your healthcare, and this can be created using a worksheet available on the State of Oregon Website. This is sometimes done with a lawyer’s assistance.