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Please print out and complete the attached forms prior to your initial appointment.

* If possible include copies of your past 1-2 blood tests along with the information below.

Health History

Systems Assessment

Informed Consent

Insurance Information

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Westlawn Professional Building

1225 NW Murray Rd.  #102
Portland, OR 97229
(503) 841-2000

All content © 2006-2025 by Brett Csordas.

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