New Patient Forms

Use the form below to fill out our New Patient Intake Form. Be sure to hit the green "Submit" button at the end. This form can be quickly and easily completed in a few minutes. Your answers will be stored in a HIPAA-compliant secure, encrypted server. Please try to complete this form before your first appointment. If you are unable to complete this form, please contact our staff at (541) 241-3061 for assistance.