Forms

New Patients

A friendly retired couple discuss a treatment plan with a doctor.

It can be a little daunting stepping into a new doctor’s office. We at Oregon Infectious Disease Specialists want to make it as simple as possible. When you visit for your first appointment, please bring a valid photo ID, insurance card and medication list. We’ll guide you through intake so you can focus on your treatment plan.


Referring Providers

Infectious Disease Referral Form (PDF)

All other current and new specialty infusion forms have moved to our Oregon Specialty Infusion website.

 


HIPAA and Records Release

Notice of Privacy Practices 
Authorization for Release of Information 
Authorization for Use or Disclosure of Protected Health Information


Patient Registration

Patient Medical History Form
Patient Registration Form
Patient Agreement of Financial Responsibility
Patient Signature Page
Financial Counseling Frequently Asked Questions