Northwest Gastroenterology Patient Forms:
Thank you for choosing Northwest Gastroenterology Clinic. Whether you are a new patient, returning patient, or needing to request a copy of your medical record; you can find all of our patient forms here. All forms are also available in the office or by calling 503-229-7137.
Video Visit Information – Doxy.me
New Patient Office Visits:
Below you will find our new patient forms. Please print the forms and bring them completed to your first appointment.
Returning Patients Office Visits:
If we have seen you for an appointment within the last three years, please print and complete the form for our returning patients below.
Patient Procedures:
If you are a patient coming in for a direct access procedure, please print the forms and bring them completed to your procedure.
The following procedure forms are for review only. You do not need to print and sign these in advance. They will be provided for you to sign at the time of your procedure:
Medical Records:
Please print and complete the release of information and return to our medical records department.
Authorization to Release Information
Authorization to Release Records from Northwest Gastroenterology
Authorization to Release Records to Northwest Gastroenterology