Patient Resources
Prepare For Your Visit
Welcome to our online front desk. If this is your first visit, you will be able to download necessary forms here. You will also find information about refills, insurance, test results, medical records, etc. We thank you for choosing us for your healthcare needs and look forward to seeing you at your upcoming appointment.
We thank you for choosing us for your healthcare needs and look forward to seeing you at your upcoming appointment.
BEFORE YOU COME AND SEE US ON YOUR FIRST VISIT
- Please verify that the Portland Obstetrics & Gynecology doctor you wish to see is a member of your insurance plan
- If needed, obtain a referral from your primary care provider
- Confirm which clinic location your appointment will be at - we have two locations
- Write down any questions or concerns you wish to discuss with us
NEW PATIENT REGISTRATION
In order to expedite the process, we ask that you print out, complete and bring with you, the following registration forms to your first appointment:
- Your insurance card
- Your completed Patient Registration form & Medical History form [combined pdf]
- If pregnant, your completed OB Prenatal History Questionnaire [pdf]
- You will be responsible for paying your co-payment at the time of your visit
Patient Registration Form: All patients must complete this form down to the dotted line. This form enables us to accurately bill your insurance company.
OB Prenatal History Questionnaire: This form is only needed if your pregnant and helps us to determine if there are certain specific concerns we should be aware of in your pregnancy.
We have made every effort to minimize the paperwork required for our patients, while also getting the information we need to provide you with the highest quality service possible.
Please note, if you do not bring these forms with you, may we ask you to arrive early for your appointment to allow time for the completion of the above forms.
If a permission form is needed to release or obtain your medical record, please print out, complete and bring with you, one of the following forms:
OBTAIN Medical Records Permission Form [pdf download]
RELEASE Medical Records Permission Form [pdf download]
Learn about your HIPAA privacy rights.
Note: In order to view these forms, you will need Adobe Acrobat Reader.
Patients are seen by appointment only. Please help us keep on schedule by arriving 15 minutes prior to your appointment time. We will work hard to honor your appointment time. Please understand, however, that occasionally we are delayed by emergencies or deliveries. We will make every effort to keep you informed in the event this occurs. If you cannot keep a scheduled appointment, please let us know. When possible, please cancel an appointment at least 24 hours in advance. Thank you.
You are welcome to bring a friend, spouse, or parent with you. You will be given a cloth gown to wear for the exam. Some patients like to bring or wear warm socks. Heavy vaginal bleeding or a severe vaginal infection will prevent us from obtaining an adequate PAP smear, so that if this occurs, you may need to reschedule for that portion of the exam.
As courtesy to our patients, we will be happy to bill both primary and secondary insurances. Please bring all applicable insurance cards to your appointment.
If your doctor is a member of your HMO or PPO plan, we will bill your insurance for all service. You will be responsible for paying your co-payment at the time of your visit.
If you have any questions about our fees, please feel free to contact our Patient Accounts at (503) 229-7588
Our Physicians share on-call responsibilites. If you need to speak to a doctor after regular office hours, our answering service will contact the physician on-call and your call will be returned promptly — to reach the answering service call our office number at (503) 229-7353. Our answering service will relay your message to the physician on call.
When contacting the office or on-call physician, it may be important to know the phone number of a pharmacy near your home (if after hours, it may need to be the nearest 24hr pharmacy) and the name of your hospital your insurance has approved. If your phone is equipped with caller ID please set it to accept blocked calls when you are expecting a call from us.
If you need more emergent assistance, please call 911 or go to the nearest Emergency Room or Labor and Delivery.
For non-urgent concerns, please call our office during regular business hours when your records are available.
Requests for prescription refills should be called into your pharmacy 2 business days or more before your medication is finished. If necessary, the pharmacy will fax a request to our office for authorization. Refill requests should be made during regular office hours. Please do not request refills for medications after hours. Please plan ahead, if you need a refill for the weekend — call the pharmacy Thursday morning.
We welcome and encourage you to call the office if you have a problem or question. In order for us to prioritize calls, we ask patients to let the receptionist know the nature of your problem or questions. Genuine emergencies are our first priority. Urgent calls are handled as soon as possible, and non-emergent calls are returned as time permits throughout the day and after office hours.
Please give telephone numbers with area code where you can be reached during both business and evening hours. If your phone is equipped with caller ID, please let it accept blocked calls when you are expecting a call from our office.
Lab and Radiology test results will be given out by the physician or medical assistant only. Patients will be notified of their test results by telephone or mail. If you have not been informed of your results witin 14 business days, please call our office during regular business hours.
Portland Obstetrics & Gynecology Associates follows HIPAA (Health Insurance Portability and Acountability Act of 1996) guidelines and accordingly maintains all information related to patients and medical care in the strictest confidence. For more information, please download HIPAA's fact sheet "Your Health Information Privacy Rights"[pdf].
We will not disclose your record to others unless you direct us to do so or unless the law authorizes or compels us to do so. With appropriate authorization, copies of a portion or all of your medical records will be released to the appropriate party or designated person(s).
In order for us to release your records, please fill out our permission to RELEASE medical records form [pdf]. In the event that you would like us to obtain your records, please fill out our permission to OBTAIN medical records form [pdf].