Office: (541) 654-9447 Fax: (541) 972-2018

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    • About
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    • Patient Forms

Office: (541) 654-9447 Fax: (541) 972-2018

  • Home
  • About
  • Contact & Hours
  • Links
  • Patient Forms

Patient Forms

New patients: please complete the HIPAA form.


If you have any form of Medicare coverage, please also complete Advanced Beneficiary Notice (ABN) form.   

HIPAA Form

Advanced Beneficiary Notice (ABN)

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