Welcome to the new patient resources. Here you can find relevant information for new and existing patients as well as forms to fill out in advance for your convenience.
WARNING
Please do not send any completed medical forms over the internet via email or any other transmission method.
Fill out intake forms in advance and bring them to your first visit
These documents must be written, dated, and signed by the patient or by a person legally authorized to do so. If you have a printer at home then you can fill out this form on your computer and print it to bring to your first appointment. If you have trouble with the e-signature fields then you can sign them after you print the form. We recommend using Adobe Reader to fill out the forms from your computer. NEVER SEND COMPLETED MEDICAL FORMS OVER EMAIL.
Intake Forms
- Intake and Consent Forms (Spanish) (Burmese)
- Adult Medical History (Spanish) (Burmese)
- Adult Annual Visit
- Pediatric New Patient (Spanish) ( Burmese)
- Adolescent New Patient (Spanish) (Burmese)
- Authorization to Release Medical Records to CNM
- Authorization to Release Medical Records from CNM
* Any patient that has an outstanding balance of $200 that is over 60 days old or has more than $350 in outstanding balances at any given moment, will not be scheduled until the balance is paid.
Insurance
These are the insurance companies most of our providers accept:
- OHP Plans: CareOregon, Columbia Pacific, Jackson Care Connect, Yamhill Community Care, and Open Card/DMAP
- Providence: Signature Network
- Moda: Beacon, Connexus, Synergy
- BCBS: Regence, HMA, Medicare Advantage
- PacificSource
- Aetna
- Cigna
Patients are advised to verify coverage and benefits with their insurance company prior to scheduling. All of our providers are either Naturopaths or Acupuncturists, please make sure you have coverage for these provider types, based on the services you wish to receive. Claims are paid and processed based on your insurer’s discretion.