New Patient Scheduling

We’re so grateful that you’re considering becoming a patient at Northwest Integrative Medicine.

Please know that we use text messages regularly to help keep care simple and connected, including appointment reminders, paperwork, and other important updates.

You will also need an email address to set up your secure patient portal. From time to time, we may send helpful updates by email so you have the information you need.

To simplify billing, we also require all patients to keep a credit card on file, with the exception of those covered by Medicaid.

We can't wait to help you on your healthcare journey

Name(Required)

First Last

Birthday(Required)

Phone(Required)

Email(Required)

Please describe your two most important physical, mental, or emotional health concerns

This helps us match you with the right provider. If you've recently been hospitalized for mental health or your main concern is complex mental health, please share that here. We may recommend specialized care outside our clinic.

Are you currently taking psychiatric medications that you need started, adjusted, or refilled?(Required)

Yes

No

Do doctor's visits make you anxious?(Required)

Yes

No

Select your health insurance company(Required)

If your health insurance company doesn't appear on the list below, it's likely we may not be able to accept it at this time. Please note , we do not take Medicare at this time.

Aetna

Regence (BCBS or Blue Cross / Blue Shield)

OHP/Medicaid (Care Oregon, Health Share, Open Card)

HMA

Moda

Pacific Source

Self-pay

Enter your Member ID (from your insurance card)(Required)

Please type in your Member ID (not your Group ID or Rx ID). Member ID is sometimes referred to as "ID Number" or "ID."

Do you have a preferred provider?

Were you referred by a healthcare provider? If so, please write their name below.

We are now open to new patients.

Hours:
Monday-Thursday: 9am-5:45pm
Friday: 9am-4:15pm

Our Office

New Patient Scheduling

We can't wait to help you on your healthcare journey

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