- Patient Agreement
- Rx Agreement
- Release of Information Authorization Form
- Notice of Privacy Practices (HIPAA)
- Medical History Form
- Acuerdo Del Paciente
- Acuerdo De Prescripciones
- Autorización Para Liberar Información
- Practicas Del Aviso De Privacidad (HIPAA)
If you cannot access the forms you can click on the icon to download the software.
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.
Signature required for all new patients and annually thereafter.
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.