Request an Appointment - Oregon Orthopedic & Sports Medicine Clinic

Oregon Orthopedic & Sports Medicine Clinic LLP - Physicians and Surgeons

Request an Appointment - Oregon Orthopedic & Sports Medicine

Appointments

• Phone (503) 656-0836
• Online
• Directions

Mon-Fri 8am-5pm

About Us

• Oregon Orthopedic
• Our Services
• Meet Our Physicians
• Locations
• Media
• Patient Testimonials

Instructions

• Surgery Instructions
• Patient Forms
• Patient Survey

Polices & Information

• Payment Policy
• Prescription Refills
• Contracted Health Plans
• Fracture Care Explanation
• Contact Billing

General Instructions for your appointment at Oregon Orthopedic & Sports Medicine Clinic

Please fill out all forms online. This will greatly reduce your time at check in. Appointments may need to be rescheduled if paperwork is not completed. Click here for our secure online forms page
Please help to reduce scheduling times by completing the following Appointment Request as well as the Patient Registration form. Failure to do so will lengthen scheduling time.
Please Arrive 15 minutes earlier then your scheduled appointment time. This will allow the front desk staff to ensure all paperwork has been received and is correct.
Photo ID is required for every appointment.
Please bring any related X-rays, MRI, or CT's to your appointment. Our clinic prefers these to be on CD.
Please dress appropriately for your appointment. If you are being seen for your knee, shorts are recommended. If you are being seen for your shoulder or any other upper extremity, a button down shirt is recommended.

Printable Appointment Request

Request an Appointment Online
Secured by SSL Please note: We realize the following form is very detailed. However, failure to provide all information requested may result in numerous phone calls from our staff and a delay in scheduling your appointment.* To navigate use your mouse, or the TAB key (do not use the Enter key)
Are you	(Please select one): a New Patient or an Established Patient
First Name		M.I.
Last Name		D.O.B.	(Date Of Birth)
Phone		Phone 2

Seen at Hospital: Yes No. If yes, please provide Date:
	Name of Facility/Hospital:
	Primary Care Physician Name:
	Were you referred by your primary Care Physician: Yes No

Symptoms
	Date of injury:	Body Part(s):
	Neck/Back involved: Yes No
	Splinted: Yes No , X-Rays taken: Yes No , MRI: Yes No

Health Insurance: Referral Required: Yes No
	(If you are involved in a Workers Comp Case or Motor Vehicle Accident, please be sure to complete the applicable section below)

Please select the doctor with whom you are waiting to schedule
	(Leave blank if any or next available is preferred)
	Dr. McWeeney	Dr. Ballard
	Dr. Sedgewick	Dr. Huberty
	Dr. Black	Dr. Feinblatt

Please select which location you would prefer: Oregon City Tualatin

Have you been seen by another specialist?: Yes No
	Type:
	Name of Specialist: City: State:
	Surgery?: Yes No City: Type:

	Are you looking for:
	2nd Opinion Transfer of Care 2nd Opinion / Possible Transfer

For Workman's Comp Cases
W/C Carrier		Phone #
Address
Claim #		Adjuster
Employer*			*(at time of injury)

For Motor Vehicle Accidents
MVA Insurance		Phone #
Address
Claim #		Adjuster

Additional Comments Here:
		Privacy Practices
Please click Send button only once

Printable Appointment Request

Please help to reduce scheduling times by completing the Patient Registration form. Failure to do so will lengthen scheduling time. The Patient Registration form opens in a separate window, so you will not lose your appointment request information entered above.

Notice of Privacy Practices

MISSION STATEMENT
"Our physicians and staff strive to provide
the highest quality of orthopedic care to the
satisfaction of our patients