Payments – SportsCare NE Portland-Doug-Gaj

Please print the patient forms below. Complete the forms at your convenience and remember to bring them with you to your first scheduled visit.

Please Complete
SportsCare	Armworks	Men's / Women's Pelvic Health
Patient Symptom Questionnaire	Patient Symptom Questionnaire	Men's Pelvic Intake Form
Patient Demographics	Patient Demographics	Women's Pelvic Intake Form

Please Review
SportsCare	Armworks	Men's / Women's Pelvic Health
Waiver and Consent	Armworks Financial Policy	Waiver and Consent
Patient Privacy Practices	Armworks Privacy Practices	Patient Privacy Practices
	Armworks Telehealth Consent

Referral Form. This copy may be faxed, mailed or hand delivered to the clinic.
Please DO NOT EMAIL

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