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(503) 922-2888
(971) 402-1727
1585 SW Marlow Ave #220, Portland, OR- 97225
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Forms
Required Forms
No Show and Late Cancellation Policy
Elite Primary Care Financial Policy
New Patient Demographics Insurance PHI Form
Medical History Form - Google Docs
Credit Card Authorization Form
Elite Primary Care HIPAA Data Use Agreement Form
Optional Forms
Medical Records Release and Request Form
Authorization to Share Protected Health Information - Google Docs
Weight Management
Weight Management Form