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Forms - English

 

Administration
Acknowledgement and Consent
Release of Information
Release Medical Information to a Family Member, Friend or Legal Representative
Notice of Privacy Practices
Permission to Treat Letter
Medical Records Amendment Correction Request Form
Video Visit Consent Form

Medical Information
Paxlovid Fact Sheet
Merck Lagevrio Fact Sheet

Advance Care Planning
Oregon Advance Directive for Health Care

Imaging
CT Information
DEXA
Echocardiogram
Ultrasound
Ultrasound - OB
Ultrasound - Vascular
Mammography
Open MRI
MRI

Questionnaires
Patient Health History Questionnaire

OB / GYN
Common Concerns of Pregnancy