Acupuncture Center of portland

3701 SE Milwaukie Ave - Suite F

Portland, Oregon 97207

Eastside Patient Portal

Printable Forms

Please download, print and fill out the following forms, and bring them to your first appointment.

 
Health History
Informed Consent
HIPAA Privacy Noticification
Policy Letter
 

Please read this final form; no need to print it out.

HIPAA Policy

Are you ready to feel your best?

Schedule an Appointment

If you would like to get in touch about your particular condition or concerns before scheduling your appointment, please contact us to schedule a short conversation free of charge.