Surgery patients are required to have a COVID-19 test before surgery, according to the pre-surgery packet you received. Masks are required & temperatures are checked at visits. No guests please- unless the patient is a minor/elderly & needs one person

Medical Forms


 
 

Provided on our website are forms that require completion prior to your visit. Please download the appropriate form as directed by our office staff by clicking on the name of the form. Adobe Acrobat Reader is required software to access these forms.

PATIENT AGREEMENT

Signature required for all new patients and annually thereafter.

RX AGREEMENT

Prescription Agreement. Signature required for all new patients and annually thereafter.

RELEASE OF INFORMATION AUTHORIZATION FORM

Please utilize this form when a patient is allowing Sports Medicine Oregon to speak, communicate or share information with another person(s). This form is commonly used for spouses and partners, and or family or friends that will be involved in patient care.

NOTICE OF PRIVACY PRACTICES

Notice to patients regarding our HIPAA Privacy Practices. No signature required.

Please bring the completed form(s) with you to your scheduled visit.
This will help expedite the registration process. Thank You.

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