Main Clinic: Heritage Courtyard • 54 Oakway Center • Eugene, OR 97401 • 541-687-7005 Two Locations to Serve You: CLICK HERE FOR MAP TO CLINIC
Downtown Satellite:1410 Oak Street, Suite 100 • Eugene, OR 97401 • 541-345-2064
Patient Intake Forms
These forms are for new patients to download and complete prior
to coming in to their first visit. Please complete all forms and bring
them to your initial clinic visit.
Download Patient Intake Forms
Download HIPPA Policy (for patient review; unnecessary to bring to your visit)
Click Here to download Adobe Acrobat Reader if you do not have it. 