New Patient Paperwork & Forms

New patient paperwork is provided electronically through the Charm patient portal under "questionnaires". Please make sure the forms are completed and submitted prior to your visit. 

Here's a check list of what you will need to complete:

• New Patient  Health Intake

• Insurance-Financial-Office Policies & Consent to Treat

• HIPAA Notice

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* If you're scheduled for Acupuncture, you'll receive an additional acupuncture consent form. 

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* If scheduled for a Telemedicine visit, you'll receive an additional telemedicine consent form. 

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* For in-person visits, during the pandemic, you will also receive a COVID-19 questionnaire that should be completed within 24 hours of your visit but not sooner. 

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If you have any issues with the electronic forms, pdf's are available below. Please print out and bring completed with you to your visit if in-person. If a telemedicine visit, please fax to 503-673-8051 or send paperwork via messaging in the patient portal.

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New Patient Health Intake:                                HIPAA Policies:

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Insurance-Financial-Office Policies & Consent to Treat:

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