Patient Forms

NEW PATIENTS: Please bring all of your completed forms in the PDF packet to your first visit.

If you have access to a fax machine, fax your paperwork prior to your appointment to 503-512-5850. This allows the doctor time to study your chart in detail.

If you do not have access to a printer, please call our office at 503-239-1022 and we will gladly mail you a copy.


Please be sure to complete the paperwork specific to your practitioner.


Dr. Messinger’s Intake forms:

New Patient Intake Packet (Adult)
Click link to download PDF

New Patient Intake Packet (Age 10-17)
Click link to download PDF

New Patient Intake Packet (Age birth-10)
Click link to Download PDF

Motor Vehicle Accident Patients:
If you are being seen for a motor vehicle accident, please fill out the MVA form packet below.
MVA form
Click link to Download PDF

Notice of Privacy Practices
Click link to Download PDF
Please take time to review Dr. Messinger’s Notice of Privacy Practices.


Dr. Olberg’s Intake forms

New Patient Intake Packet
Click link to download PDF


Dr. Lasota’s Intake forms

New Patient Intake Packet
Click link to download PDF

Consent to Treat Form
Click link to Download PDF


Dr. Bhalla’s Intake forms

New Patient Intake Packet (Adult)
Click link to download PDF

New Patient Intake Packet (Pediatric – Birth to 17)
Click link to download PDF


Dr. Carpenter’s Intake forms

New Patient Intake Packet
Click link to download PDF


Dr. White’s Intake forms

New Patient Intake Packet (Adult)
Click link to download PDF

New Patient Intake Packet (Pediatric)
Click link to download PDF


Courtney Cronk’s Intake forms

Women’s Intake Forms 
Click link to download PDF

Men’s Intake Forms
Click link to Download PDF


Dr. Farrell’s Intake forms

New Patient Intake Packet (Adult)
Click link to download PDF

New Patient Intake Packet Ages 10 thru 17
Click link to download PDF

New Patient Intake Packet Birth thru Age 10
Click link to download PDF