Third-Party Forms
These are some of the additional forms that come from outside our office that may benefit our clients and parent friends. These are offered as a free service, and are not guaranteed to be the most current, so check, and let us know if they require updating! ~ Thank you.
Click to Download
Boy Scouts 'Physical' Form
Updated: 2019. Number of pages: 4.
Click to Download
Yamhill-Carlton Schools ‘Sports’ Form
Number of pages: 2. No version number.
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Tigard-Tualatin School District Athletic Clearance Form
Version: 2011-12 handbook. Number of pages: 3.
Click to Download
School Sports Pre-Participation Examination Form
Includes both History Form (for parents), and Physical Exam Form (for physician)
Version: 2019-2020 OSAA Handbook. Number of pages: 2.
Click to Download
School Sports Pre-Participation Examination Form (En Español)
Examen previo a la participación en deportes en la escuela – parte 1: Debe rellenario el estudiante o el padre o madre; parte 2: Debe rellenariao el proveedor de atención médica.
Version: 2019-2020 OSAA Handbook. Number of pages: 3.
Complete List of Clinic Forms
- New Patient Forms Packet
- Financial Policies
- Office Policies
- Pending Insurance Application Agreement
- Self-Pay Agreement
- Established Patient Forms
- ASQ Forms
- Third Party Forms
Please call the clinic at 503-554-0036 with any questions regarding these forms.