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Welcome
Our Team
Services
Insurance
Forms
Neighborhood Family Medicine
Welcome
Our Team
Services
Insurance
Forms
Neighborhood Family Medicine
Welcome
Our Team
Services
Insurance
Forms

Print out the necessary form and bring with you to your appointment. Alternatively, you may email a copy to Katelyn at kmeithof@nfm.clinic

Forms

New Patient Registration - Child (0-11)
New Patient Registration - Adolescent (11-17)
New Patient Registration - Adult (18+)
9 Month Questionnaire
11-12 Month Questionnaire
15-16 Month Questionnaire
18 Month Questionnaire
23-25 Month Questionnaire
Children Immunizations - Where To Go
Adolescent Annual Questionnaire (12-17)
Adult Annual Questionnaire (18+)

Policies

Confidential Patient Grievance/Complaint Form
Controlled Substances Treatment Agreement
Informed Consent for Telehealth Services
New Patient Information Packet
No Show Policy
Notice of Privacy Practices
Prescription Refill Policy

Informational Brochures

ABCDEs of Melanoma
Barriers to Health Resources
Birth Control
Breastfeeding Help in Central Oregon
Building a Healthy Eating Routine
Child Passenger Safety Guidelines
Habits That Improve Sleep
How to Manage Blood Pressure
Mental Health Resources
Perinatal Depression and Anxiety
Physical Activity Guidelines
Potty Training
Preventive Care
Protect Your Vision
Reliable Sources of Immunization Information
RSV
Stabilization Center
Suicide Prevention Resources
Taking Care of Your Teeth and Mouth
Your Child's Mental Health
Your Child's Vaccines

Neighborhood Family Medicine

2195 NE Professional Ct
Bend, OR 97701

Phone (541) 322-9396