ALS Center of Oregon

 


 

 

Multidisciplinary Principal Care Continuity

New Patient Appointments

Prior to your first visit

These forms require Adobe Acrobat Reader

Get it here.

 • Please print these forms:

Intake Form and Referral Form            


 • Please ask your primary care physician to complete them
             

Please return them to: 

Fax: 503-494-0966
Mailing address:
3181 SW Sam Jackson Park Rd

CR-120

Portland, OR 97239-3098


If a physician referral or insurance pre-authorization is needed, please let us know in advance.

We will contact you to schedule an appointment when all documents are received. A new patient packet can be downloaded with directions and information on what to bring to your appointment.


Returning Patients
If you are a returning patient wanting to schedule an appointment, or have questions regarding patient appointments, please contact us at 503-494-5236 or email us at : als@ohsu.edu

Returning patients are asked to please download, fill out and return the Follow-up questionnaire available on the Forms page.

 

 

ALS Patient

Brochure

 

ALS

Newsletter


ALS Provider

Brochure

 

Checklist for patients

diagnosed with ALS

 

Schedule an

appointment

 

Make a Donation

 

 

 

ALS Center of Oregon
Oregon Health & Science University
email ALS@ohsu.edu
Website comments or suggestions can be directed to
Neuromuscular Webmaster

phone: (503) 494-5236 fax: (503) 494-0966

Page Updated:Thursday, September 13, 2007 01:41:21 PM -0700


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