Release of information

Use this form to transfer your records from a previous doctor to The Willamette Clinic. 

Download the release of information form (pdf)


new patient intake

New patients are required to complete this form. It can be filled out in the office on your first visit or print it and bring it to your appointment.

Download the new patient intake form (pdf)


medical history

New patients are required to complete this form. It can be filled out in the office on your first visit or print it and bring it to your appointment.

Download the medical history form (pdf)


WELL VISIT 30 & UP

Women 30 and over may complete this form ahead of time and bring to their annual well visit exams.

Download the well visit form (pdf)


Women 18 to 29 may complete this form ahead of time and bring to their annual well visit exams.

Download the well visit form (pdf)

WELL VISIT 18-29


Men 18 and up may complete this form ahead of time and bring to their annual well visit exams.

Download the well visit form (pdf)

Well male 18 & up