Forms

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)

Download

Dr. Leong New Patient Packet (pdf)

Download

Dr. Underwood New Patient Packet (pdf)

Download

Referral Form (pdf)

Download

Release of Information (pdf)

Download

Notice of Privacy & Office Policies (pdf)

Download

Friend and Family Release (pdf)

Download

Howie Friedman New Patient Packet (pdf)

Download