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Laptop and Paperwork

Digital Forms

New Patient Forms​

NEW PATIENTS - You must fill out the registration form completely prior to getting on schedule and sign the consent forms.

Policies to know and love.

Privacy Policy

Consent Form

Controlled Medication Consent Form

Fill out so the office can obtain your medical records from previous providers.   

Existing Patient Forms

Each Visit- 

Speed up your visit by completing prior.

Only complete if your insurance has changed.

Vit B12 Injection

Consent Form

- Fill out and Submit online

Blood Pressure and Heart Rate LOG - Print ​

Blood Sugar and Insulin LOG - Print​

Food and Exercise LOG - Print​

Advanced Care Directive - Print

*Notary NOT required*

Annual Medicare Wellness Visit Questionnaire 

ADD / ADHD Questionnaire 

OFFICE PHONE

Call or Text: (541) 262 - 6470

*Secure Voicemails/ Texts 

*Phone is rarely answered.

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**GET ON THE SCHEDULE & FILL OUT A CHECK IN FORM. 

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OFFICE FAX: (833) 970 - 0970

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PATIENT HOURS

Mon- Fri: AM

M, W, F: Office by appt.

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*Expedited/ After hour visits should not be needed, but are available for a $40 fee.

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*DO NOT come to the office if you are sick*

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**Digital Clinic is not a substitute for the ER or Urgent care.  **If you are having an emergency or developed an infection, go to the Emergency Room or Urgent Care.**

OFFICE ADDRESS:

321-B Goodpasture Island Rd

Eugene OR 97401

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Near Car Dealerships, next to Urgent Care & across from Ross.

In brick building next upstairs in back. Park in the back for free.

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