Providence Medical Group Bridgeport Family Medicine
2327.4 miles away
503-216-0700
Fax: 503-216-0750
Mon - Fri: 7 a.m. - 5:15 p.m.
Providence Medical Group Bridgeport Family Medicine
Mon - Fri: 7 a.m. - 5:15 p.m.
2327.4 miles away
Fax: 503-216-0750
When you choose a primary care provider from Providence Medical Group for you or your family, you are choosing from a team of physicians and providers who are as interested in keeping you healthy as in getting you well. Our physicians and nurse practitioners care for you with a total-health perspective. Your primary care provider makes you aware of potential health risks, and emphasizes preventive care to help you stay well.
Should you need specialized care, your primary care provider coordinates your referral to a specialist, someone he or she trusts to give you excellent care. The result? Referrals to the right specialists, no needless duplication of expensive or invasive tests, and less paperwork. Better continuous care. A true team approach to your health care.
Providence Medical Group accepts most major forms of insurance. Please contact your insurance carrier to confirm coverage at this clinic.
Should you need specialized care, your primary care provider coordinates your referral to a specialist, someone he or she trusts to give you excellent care. The result? Referrals to the right specialists, no needless duplication of expensive or invasive tests, and less paperwork. Better continuous care. A true team approach to your health care.
Providence Medical Group accepts most major forms of insurance. Please contact your insurance carrier to confirm coverage at this clinic.
When you need specialized care, your primary care provider coordinates your referral to a specialist – someone he or she trusts to give you excellent care.
- Adult Primary Care
- Behavioral Health
- Osteopathic Manipulation
- Patient-centered Medical Home
- Pediatric Primary Care
- Prescription Medications
- Preventative Care
- Sports Medicine
- Tobacco Counseling
- Women’s Health
Daily life brings challenges for everyone. At some point, we may need help facing those challenges.
If you have concerns that interfere with your physical, social, and emotional health, consider talking to your primary care provider. He or she can refer you to the behavioral health provider on your medical home care team.
Our behavioral health providers are skilled in treatment approaches focused on enhancing our patient’s quality of life by improving physical, mental and social well-being. At your first meeting, we will explore your needs so, together, we can create a plan specific to your health and lifestyle.
If you’re interested in receiving behavioral health services at your primary care clinic, talk to your primary care provider about being referred.
If you have concerns that interfere with your physical, social, and emotional health, consider talking to your primary care provider. He or she can refer you to the behavioral health provider on your medical home care team.
Our behavioral health providers are skilled in treatment approaches focused on enhancing our patient’s quality of life by improving physical, mental and social well-being. At your first meeting, we will explore your needs so, together, we can create a plan specific to your health and lifestyle.
If you’re interested in receiving behavioral health services at your primary care clinic, talk to your primary care provider about being referred.
Providence Medical Group wants to help ease the way of our patients by providing new patient medical forms and privacy notice information in advance of their first visit.
Forms and Information
Please review all of the information below and complete the necessary forms prior to any patient’s first appointment to allow for quick and easy processing.
- Health History Form - Bridgeport (Adult 15+yrs.)
- Health History Form - Bridgeport (Child 0-14yrs.)
- Medical Record Authorizations. Providence Health & Services provides access to medical records from our hospitals and other medical facilities in Oregon to patients and their authorized representatives.
- Medical Records Transfer Form. Complete this form to transfer personal medical records from another doctor or hospital to our office.
- Notice of Privacy Practices. Please review prior to the patient's first appointment.
Pediatric forms and information
Complete developmental questionnaire and checklist prior to a well-child exam:
-
Well Child Checklist
A list of developmental questionnaires from birth to age 21.
- Developmental Questionnaire: 0-7 Days
- Developmental Questionnaire: 2 Weeks-1 Month
- Developmental Questionnaire: 2 Months
- Developmental Questionnaire: 4 Months
- Developmental Questionnaire: 6 Months
- Developmental Questionnaire: 9 Months
- Developmental Questionnaire: 12 Months
- M-CHAT-R (Modified Checklist for Autism in Toddlers Revised)
- Developmental Questionnaire: 15 Months
- Developmental Questionnaire: 18 Months
- Developmental Questionnaire: 2 Years
- Developmental Questionnaire: 2.5 Years
- Developmental Questionnaire: 3 Years
- Developmental Questionnaire: 4 Years
- Developmental Questionnaire: 5 Years
- Developmental Questionnaire: 6 Years
- Developmental Questionnaire: 7-8 Years
- Developmental Questionnaire: 9-10 Years
- Confidential Teen Pre-Visit Questionnaire
- Developmental Questionnaire: 11-12 Years
- Developmental Questionnaire:13-14 Years
- Developmental Questionnaire: 15-17 Years
- Developmental Questionnaire: 18-21 Years
-
Well Child Checklist (Spanish)
Una lista de los cuestionarios de desarrollo desde el nacimiento hasta los 21 años.
- Cuestionario pre-consulta: De recién nacido a 0-7 días
- Cuestionario pre-consulta: 2 semanas a 1 mes de edad
- Cuestionario pre-consulta: 2 meses de edad
- Cuestionario pre-consulta: 4 meses de edad
- Cuestionario pre-consulta: 6 meses de edad
- Cuestionario pre-consulta: 9 meses de edad
- Cuestionario pre-consulta: 12 meses de edad
- Cuestionario pre-consulta: 15 meses de edad
- Cuestionario pre-consulta: 18 meses de edad
- Cuestionario pre-consulta: 2 años de edad
- Cuestionario pre-consulta: 2.5 años de edad
- Cuestionario pre-consulta: 3 años de edad
- Cuestionario pre-consulta: 4 años de edad
- Cuestionario pre-consulta: 5 años de edad
- Cuestionario pre-consulta: 6 años de edad
- Cuestionario pre-consulta: 7-8 años de edad
- Cuestionario pre-consulta: 9-10 años de edad
- Cuestionario de la salud del adolescente
- Cuestionario pre-consulta: 11-12 años de edad
- Cuestionario pre-consulta: 13-14 años de edad
- Cuestionario pre-consulta: 15-17 años de edad
- Cuestionario pre-consulta: 18-21 años de edad
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