East Portland Orthopedic and Fracture Clinic

Medical Forms

Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe box. This will allow you to download this software, providing access to the forms. Please bring the completed form/s with you to your scheduled visit. This will help expedite the registration process. Thank you.

Acknowledgment and Consent Form Financial Policy Medical History Patient Registration Genetic Research Opt EPOC Pain Diagram Notice of Privacy Practices

If you cannot access the forms you can click on the icon to download the software.