Forms / Resources
Save time by filling out the new-patient paperwork ahead of time–generally the ‘release of records’ form need only be filled out if your provider is requesting past records.
Either print these forms out and complete them by hand, or type your responses into the Word document, save it to your computer, and attach it to an email sent to firstname.lastname@example.org. Otherwise please show up 10-15 minutes prior to your appointment to fill out paper work in person. Thank you! Feel free to give us a call if you have any questions. 541 330-0334.
Dr. Kerie Raymond, ND, Chelsea Phillips, LAc, Kellie Chambers, LAc, Kevin Pett, PhD, DAOM, LAc- Patient Forms:
Dr. Calley Asbill, ND- Patient Forms
Adult Intake_Calley Asbill, ND
Pediatric Intake_ Calley Asbill, ND
Lori Carroll, DC
Intake Forms Lori Carroll, DC
Sarah Reynolds-Jackson, LMT Forms:
Massage Intake Form-Sarah-Reynolds Jackson
Karl Jackson, LMT Forms:
Release of Liability
Zara Seligson, Patient Forms:
Nutrition Counseling Intake Form
Release of Records Form:
Records Release Form
Call or email us with any questions you might have. Thank you!