Forms & Information

Providence Medical Group-Hood River

Forms & Information

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New Patient Forms: PMG-Hood River Columbia Gorge Heart Clinic

To prepare for your visit with Dr. Kathy Grewe or Dr. Robert Florek, please bring this completed form with you for your initial appointment. In addition we will also need your photo ID and current medical insurance card.

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New Patient Forms: PMG-Hood River Family Medicine

To prepare for your visit with Dr. Ralph Carter, Dr. Janet SjoblomDr. Maria Czarnecki or Dr. Mike Harris, please bring this completed form with you for your initial appointment. In addition we will also need your photo ID and current medical insurance card.

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New Patient Forms: PMG-Hood River General Surgery

To prepare for your visit with Dr. Stephan Coffman or Dr. John Garcia, please bring this completed form with you for your initial appointment. In addition we will also need your photo ID and current medical insurance card.

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New Patient Forms: PMG-Hood River Internal Medicine

For appointments with Jodi Ready, Gary Regalbuto or Stephen Vogt. Please bring the following to your appointment: Photo ID, current medical insurance card, completed new patient forms and current medications you are taking, in their original containers.

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New Patient Forms: PMG-Hood River Orthopedic Center

To prepare for your visit with Dr. John Durkan please bring this completed form with you for your initial appointment. In addition we will also need your photo ID and current medical insurance card.

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New Patient Forms: PMG-Hood River Rheumatology

To prepare for your visit with Dr. Dan Sager, please bring this completed form with you for your initial appointment. In addition we will also need your photo ID and current medical insurance card.

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New Patient Forms: PMG-Hood River Women's Clinic

To prepare for your visit with Dr. Elaine Adsit, Michele Bouche CNM, or Dr. Robin Henson please bring this completed form with you for your initial appointment. In addition we will also need your photo ID and current medical insurance card.

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Newborn heart screening

 Pulse oximetry newborn screening can identify some infants with a heart defect before they show symptoms. Once identified, babies can be seen by cardiologists and can receive specialized care and treatment.

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PMG- Hood River Women's Clinic Obstetrics Visit Forms

If you are an established patient at our clinic, and are preparing for your next follow-up visit, please complete these forms and bring them with your to your next appointment. In addition we will also need your photo ID and current medical insurance card.

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What to do if your child has a fever

Having a sick child is never easy. The people of Providence want to help you care for your children in the right place. Some illnesses may require a trip to a doctor or a hospital. Other illnesses can be treated best at home.

From the experts

Cold and Flu FAQ

Keeping the common cold and influenza at bay is a constant part of our daily lives. This seems to be especially true during the winter and early spring months. There are many simple ways to limit your exposure to viruses, such as regularly washing your hands. For some people, a flu vaccination might be the best option. Read on to find out more about how you can stay healthy and seek out appropriate treatment.

How to safely enjoy the Northwest’s great outdoors this fall and winter

The Pacific Northwest landscape is, for many, the perfect playground for fall and winter. For others, the darker, colder months signal retreat – a time to shun the outdoors in favor of indoor sedentary fare such as reading, watching TV and eating.

Ski and Snowboard Safety Tips

As ski season approaches, skiers and snowboarders can’t wait to hit the snow and leave their first tracks of the year. Before you step into your bindings, keep in mind that a day on the slopes can be dangerous.

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