New Patient Forms

The WellBridge Clinic

“A little time now will save you a lot later.”

Print and complete the forms below before you come in for your visit. Please make a complete list of your pharmaceuticals, vitamins, supplements, and herbal prescriptions.

Stop waiting. Now is the time to begin.

The WellBridge Clinic

Phone: (503) 544-9611
Fax: (971) 339-3897
4511 SE Hawthorne Blvd. #103
Portland Oregon 97215

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