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The forms on this page (see tabs above) are required on your first visit. By downloading and filling out the forms ahead of time you can reduce waiting room time.
New Patient Form (download PDF)
If you are a new patient to the Westover Heights Clinic, please print this form, complete, and bring to your scheduled appointment.
Release of Medical Records Form (download PDF)
If you wish to have your medical information transferred to or from the Westover Heights Clinic, we require that you complete a Release of Medical Records form prior to having your information transferred.
Transferring information to the Westover Heights Clinic – if you wish to transfer you medical record information from another medical office or clinic to a health care provider at the Westover Heights Clinic, print and complete the above form and send it either by fax or by mail to your previous provider’s clinic. Upon receipt of the form, your medical records will be forwarded to the Westover Heights Clinic.
Transferring information from the Westover Heights Clinic – If you are a current patient of the Westover Heights Clinic and want to have your medical records transferred to another medical office or clinic, print and complete the above form and either fax it to
(503)226-4307 or mail it
to:
Westover Heights Clinic
Attn: Medical Records
2330 NW Flanders, Suite 207
Portland, Oregon
97210
Note: All information remains strictly confidential unless the patient makes a specific request, in writing.