NEW PATIENT FORMS

To help reduce your wait times please print and fill out each form completely.

Please have the completed forms, your insurance card and a photo id ready to hand to the receptionist upon your arrival.

Please print and complete all three forms.

  1. Welcome Letter from Drs. Fine, Hoffman and Packer (pdf)

  2. Patient Information form (pdf)

  3. Health History form (pdf)

  4. Financial Policy form (pdf)


You'll need Adobe Acrobat to open the forms You can download the program by clicking the button below.

 

 

 


Have questions about
any of the forms?

Give us a call!
541-687-2110


 

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