Patient Forms


We are accepting new patients including Oregon Health Plan, Medicare and HealthShare patients. We are currently covered with most private insurers, accepting Motor Vehicle and Workers Compensation Claims as well.

New Patient Paperwork: ADULT Primary Care

PCP SCREENING FORMS - NEW PATIENTS

NEW PATIENT PAPERWORK: MINORS PRIMARY CARE

New Patient Paperwork: Chiropractic, Acupuncture, Massage Therapy

New Patient Paperwork: Mental Health

MENTAL HEALTH SCREENING FORMS - ALL PATIENTS

New Patient Paperwork: Oral Health: EUGENE CLINIC

New Patient Paperwork: Peds Mental Health

Consent and Demo

Download PDF Patient Forms

Patient Rights and Responsibilities

Oregon Integrated Health posts our Patient Rights and Responsibilities at each of our clinic sites. You can also download it here or we can provide you a printed copy/emailed copy at our clinics. You may contact our Administrative Office at office@oregonih.com

Download Patient Rights and Responsibilities

OIH Privacy Practices

Download Form