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  • (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

We proudly offer the highest quality service and care, with the warmth and the hospitality of home, at an affordable price.

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Contact

  • (503) 922-2888
  • (971) 402-1727
  • info@eliteprimary.care
  • 1585 SW Marlow Ave #220, Portland, OR- 97225

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