Download Patient Forms to Save Time

NEW PATIENTS: You are welcome to save time by downloading and filling out the following medical forms at home, bringing them with you to the appointment.

If you bring your documents with you, please arrive fifteen minutes in advance of your appointment for us to review the information to ensure we have complete and accurate medical records.

Or, you may arrive at the office 30 minutes in advance of your appointment to fill them out in the clinic and allow us to review them for complete information.

Bend Regenerative Medicine is affiliated with Center for Integrative Medicine and patientsl see that name on registration and billing information.

Thank you!

NEW PATIENT REGISTRATION FORM