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Sports Medicine Oregon

Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. Please bring the completed form/s with you to your scheduled visit. This will help expedite the registration process. Thank you.

Patient Intake History Form Patient Information and Financial Agreement Acknowledgement and Consent Patient Acceptance of Financial Responsibility Patient Privacy Prescriptions Agreement Notice of Privacy Practices Disclosure of Physician Ownership

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We serve the following communities:
Portland, Lake Oswego, Tualatin, Tigard, Wilsonville, Canby, Sherwood, Oregon City, Beaverton, Hillsboro and Vancouver

Main Campus: 7300 SW Childs Rd., Suite B • Tigard, OR 97224 • T 503-692-8700 • F 503-692-8710
Vancouver Location: 805 Broadway, Suite 130 • Vancouver, WA 98660 • T 360-213-2996
Wilsonville Clinic: 29345 SW Town Center Loop East, Suite 211 • Wilsonville, OR 97070

Copyright © 2010 Sports Medicine Oregon | Disclaimer
Last Modified: March 23, 2010