Download, print, and fill out forms to save time when you visit Cascade Internal Medicine Specialists. If you are unsure which forms you need for your visit, please call us at 541.318.0124.
New Patient Information & Medical History
Disclosure of Information
- Authorization of Disclosure (PDF): Authorize us to receive medical information from a previous provider.
- Medical Records Release (PDF): Use this form to request a copy of your medical records.
We respect and appreciate your privacy. We follow general HIPAA (Health Insurance Portability and Accountability) guidelines. Please review this before your first visit. We ask that you complete, sign and turn in our "Acknowledgment and Consent" form to indicate you have received this information.