New Patient?
Please Call: 503.701.8766
Returning Patient?

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Forms

Here are some forms which you may need to fill out on your first visit.  If you aren’t sure, our office will be happy to instruct you as to which forms you’ll need to fill out. All patients need to fill out and sign the HIPAA and Financial Agreement form.

Practice Documents

Title Version Description Size Hits Date added Download
Adult Intake ND MD FNP-C 518.78 kb 230 08-12-2018 Download Preview
Maya Strom Intake 268.00 kb 57 03-02-2019 Download Preview
Acupuncture-Intake 352.80 kb 233 03-08-2018 Download Preview
Consent-to-treat-ND 93.66 kb 250 03-08-2018 Download Preview
Email-Text-Consent 75.10 kb 172 03-08-2018 Download Preview
HIPAA-Financial-Responsibility 173.19 kb 248 03-08-2018 Download Preview
Massage-Intake 94.72 kb 111 03-08-2018 Download Preview
Naturopathy-Intake 456.67 kb 257 03-08-2018 Download Preview
Pediatric-Intake 197.23 kb 131 03-08-2018 Download Preview
Physical-Therapy-Intake 225.50 kb 111 03-08-2018 Download Preview
Dr. Allenton Intake Addendum 67.05 kb 114 30-08-2018 Download Preview
Dr. Ami K Extra 2. Consent Forms East 59.20 kb 114 31-08-2018 Download Preview
health insurance coverage questions for patients 34.46 kb 196 31-08-2018 Download Preview
Late cancel policy 62.31 kb 141 31-08-2018 Download Preview
Chiropractice Intake 184.06 kb 126 30-09-2018 Download Preview