
Providence Cannon Beach Clinic
Providence Cannon Beach Clinic
We provide a welcoming environment for your health and well-being, conveniently located for residents of the north coast. Our family practice providers live and work in the community and take the time to get to know you. Here, you’re seen as a person, not a patient.
When you choose a primary care provider from Providence 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 medical home team cares 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.
And 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.
Better continuous care. A true team approach to your health care.
We address primary care concerns for family members of all ages - ranging from wellness visits and immunizations to screenings and chronic condition management. These include:
- Primary care
- Family medicine
- Gynecology
- Pediatric care
- Behavioral health services
- Diabetes education
- Pharmacy
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.
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.
Complete these forms (see below):
Review this information:
-
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
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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