New Patient Information

Welcome to Oregon Running Clinic

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Oregon Running Clinic accepts payments via insurance, FSA and HSA, credit card and debit card. Please call or email prior to your appointment to check your insurance benefit status. Please wear athletic clothing including running shorts and running shoes to your appointment, and be prepared to move.

If you have not yet scheduled your first appointment with us, please do so here.

Before your first appointment, you will receive a welcome email with a link to complete your required forms online. However, if you prefer to print and fill out paper forms, download them below:


 

New Patient Forms

 

Insurance Benefit

Inform us of your benefits, deductible and patient responsibility.

 

Media Release Consent

Authorize us to disclose protected health information for marketing purposes.

HIPAA Privacy Practices

Acknowledge that you have received a copy of the HIPAA privacy practices.

 

Patient Intake Form

Provide us with information regarding your current medical condition.

Medical Screening

Inform us of your current condition, as well as past medical history.

 

Running Evaluation Form

Provide us with information regarding your training and sports injuries.

 
 

 

Injury Specific Forms

Please download and complete the form applicable to your injury and bring to your appointment.