First time patient documents

New Patient Documents, Medical Forms and More

The following clinic forms are available for your convenience. If your next visit requires completion of a certain form,
please print and fill it out, and bring it with you to your next appointment.

 

Welcome Letter

Directions, parking, and general clinic information.

Download PDF

Patient Registration Form

Patient rights regarding your health care information.

Download PDF

Privacy Policy

Patient rights regarding your health care information.

Download PDF

Privacy Policy Acknowledgement

Patient acknowledgment of our privacy policy.

Download PDF

Health Authorization

Authorization to use patient protected health information.

Download PDF

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Our Location

Active Recovery TMS

2701 NW Vaughn St Suite 325

Portland OR 97210

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