Please note: COVID has changed our office practices. Because we serve many vulnerable patients, we continue to implement many extra measures to try to prevent the potential spread of infection. Please check with us for the latest updates.
New Patient Registration Forms
Please download, print and complete the New Patient Registration Forms prior to your first visit to Hands on Healthcare. Please share all the requested information that you can easily supply and bring the completed forms with you to my office.
If you do not have the ability to print these forms or are unable to complete them ahead of time, please call me the day before your visit (call 541-419-8743) and let me know that you will be arriving 15 – 20 minutes before your appointment to fill out the forms. I will set them out for you in the waiting area or bring them to you at the door.
If you are the parent or caregiver for a child 12 years old or younger, please complete the New Pediatric Patient Forms.
New Patient Forms
New Pediatric Patient Forms