East Portland Orthopedic and Fracture Clinic

About Your Visit

Insurance Information

We accept many insurance plans. Please verify acceptance of your plan before scheduling your appointment.

Appointments

Please call the office to make an appointment in advance. If you are unable to keep your appointment, please call us as far in advance as possible so we may use that time to see another patient in need of care. We make a sincere effort to adhere to our appointment schedule and appreciate your patience if we are late due to emergencies or hospital surgery.

Forms

Provided on the medical forms page 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.

Fees & Payments

For your convenience, we accept cash, checks, VISA, MasterCard, Discover, American Express and Bank Debit Cards. If we are a participating provider of your insurance company, we will bill them. However, payment is the patient's responsibility. We will help in any way we can to assist you in handling claims.

$10.00 Disability Form
$25.00 Returned Check Charge
$30.00 Copying Records First 10 Pages
- 11-50 pages $.50 each
- 50 pages or more $.25 each
$40.00 Less Than 24 Hour Cancellation or Missed Appointment
$62.00 MVA Lien Filing Fee/Lien Release Fee
$100.00 No show for injections
$250.00 Surgery Re-scheduling and/or Cancellation Fee

Prescriptions & Renewals

Please request all prescriptions and authorizations for renewals between 9:00am - 4:30pm, Monday through Thursday and 9:00am - 4:00pm on Friday.

135 N.E. 102nd Avenue • Portland, OR 97220 • Tel: (503) 255-5388 • Fax: (503) 255-5085