New Patient Forms

If you have already scheduled your first appointment, please complete your new patient paperwork before your visit. You can download the form, fill it out electronically, print it, and bring it with you to the office.

Please bring your completed form, photo ID, and insurance card to your appointment.

Before Your Appointment


Complete Your Forms Online

Fill out your secure new patient forms


Prepare Your Information

Have your insurance details, medications, and medical history ready.


Download the form to your computer or device.

  • Fill it out electronically, then print it.
  • Bring the completed paperwork with you to your first visit.

This page is for new patients who have already scheduled an appointment with The Oregon Hemorrhoid Clinic. If you have not yet scheduled your visit, please call our office first at (503) 786-7272.


If you have questions about the paperwork or need help before your visit, please call our office.