Come by for a Visit or Give Us a CallIt would be great to see you!
Blue Star Naturopathic Clinic
25 NW Louisiana Ave, Suite 100
Bend, OR 97703-3294
United States (US)
At your first appointment at Blue Star Clinic, you will be asked to provide information about you and your health. It is helpful if you bring along copies of previous tests, lab results and the names of any medications or natural supplements you are currently taking. You can also save time by bringing the completed forms with you on your first visit. Download, fill-out, print and sign the PDF documents below. Then bring the completed paperwork with you to your first visit.
- Patient Information Form
- Adult Health History or Pediatric Health History (if under 16 years of age)
- Consent For Treatment
- Authorization to Bill Third-Party Payer (if insurance or someone other than the patient is responsible for payment)
- Notice of Privacy Practices (for your information only, you do not need to bring this form)
- Authorization to Release Confidential Health Information (if we need to get medical records from another doctor)