Medical Forms

July 19, 2011 admin clinic information

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe icon. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

box Patient Information
box Patient History
box Perscription Refill Policy
box Medical Release
box Financial Policy
box Patient Consent Form

If you cannot access the forms you can click on the icon to download the software.

Download Acrobat

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© 2011 James Makker,MD 17050 Pilkington Road, Suite 220 Lake Oswego, OR 97035 Phone: 503.808.9001 Fax: 503.808.9002

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