Appointment Request

To schedule an appointment you may call our office at 503.692.9386 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

*If you are new to our office, please call at your convenience so that we may gather the necessary information in order to find the best appointment time for you. 
**Please do not use this form to cancel or change an existing appointment.                                                                 

Our convenient office hours:

Monday: 8:00-5:00

Tuesday: 8:00-8:00

Wednesday: 8:00-5:00

Thursday: 8:00-5:00

Friday: 8:00-5:00

Saturday: 8:00-12:00

Sunday: Closed

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.


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