Patient Forms

Preparing For Your Initial Visit

Welcome to Pine Springs Health, your committed partner in primary care. As a new patient, we need to gather some important information to ensure that we provide you the highest standard of personalized care. On this page, you will find four essential forms to be completed prior to your initial visit. Kindly download each form, fill them out, print, and sign. Please bring these completed forms with you to your initial appointment. If you prefer to fill out these forms in person, we will happily provide them for you to complete when you arrive for your initial visit. Our team is looking forward to meeting you and playing an active role in managing your health. Thank you for choosing Pine Springs Health for your medical care needs in Bend, Oregon.

View our Notice of Privacy Practices here.

Preparing For Your Initial Visit

Welcome to Pine Springs Health, your committed partner in primary care. As a new patient, we need to gather some important information to ensure that we provide you the highest standard of personalized care. On this page, you will find four essential forms to be completed prior to your initial visit. Kindly download each form, fill them out, print, and sign. Please bring these completed forms with you to your initial appointment. If you prefer to fill out these forms in person, we will happily provide them for you to complete when you arrive for your initial visit. Our team is looking forward to meeting you and playing an active role in managing your health. Thank you for choosing Pine Springs Health for your medical care needs in Bend, Oregon.

View our Notice of Privacy Practices here.

Preparing For Your Initial Visit

Welcome to Pine Springs Health, your committed partner in primary care. As a new patient, we need to gather some important information to ensure that we provide you the highest standard of personalized care. On this page, you will find four essential forms to be completed prior to your initial visit. Kindly download each form, fill them out, print, and sign. Please bring these completed forms with you to your initial appointment. If you prefer to fill out these forms in person, we will happily provide them for you to complete when you arrive for your initial visit. Our team is looking forward to meeting you and playing an active role in managing your health. Thank you for choosing Pine Springs Health for your medical care needs in Bend, Oregon.

View our Notice of Privacy Practices here.

  1. Authorization to Release and Receive Protected Health Information

  1. Communication Preferences

  1. Health History (Adult)

  1. New Patient Registration Form