New Patients: Please download and complete the new patient packet for the provider you have been assigned to. You may bring the completed forms to your appointment or submit them via mail or fax prior to the appointment date.
Faxing Forms: fax completed forms to (541) 744-4443
Mailing Forms: mail forms to Oregon Psychiatric Partners at 3203 Willamette Street, Eugene, OR 97405
Dan Bentley New Patient Packet (pdf)
DownloadDr. Leong New Patient Packet (pdf)
DownloadDr. Underwood New Patient Packet (pdf)
DownloadReferral Form (pdf)
DownloadRelease of Information (pdf)
DownloadNotice of Privacy & Office Policies (pdf)
DownloadFriend and Family Release (pdf)
DownloadHowie Friedman_New Patients (pdf)
Download