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    • Our Providers
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    • Contact Us

541-726-9912

541-726-9912

  • Home
  • Our Providers
  • Telemedicine
  • Insurance
  • General Information
  • Forms
  • Community Resources
  • Contact Us

Forms

NOTICE: ALL APPOINTMENTS WILL TAKE PLACE USING SECURE TELEMEDICINE/VIDEO TECHNOLOGY. PLEASE SEE THE TELEMEDICINE PAGE FOR INSTRUCTIONS AND ACCESS TO EACH VIRTUAL WAITING ROOM.


**EFFECTIVE SEPTEMBER 1, 2024**

 WE ARE ACCEPTING A LIMITED NUMBER OF NEW PATIENTS WITH A REFERRAL FROM YOUR PROVIDER. 

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Faxing Forms: fax completed forms to (541) 744-4443 

E-Mailing Forms:  Completed forms may be sent to our secure e-mail at  info@oppstaff.com

Referral Form (pdf)Download
Release of Information (pdf)Download
Friend and Family Release (pdf)Download
Notice of Privacy Practices (pdf)Download

Oregon Psychiatric Partners

3203 Willamette Street, Eugene, OR 97405, us

(541) 726-9912

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