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New Patient Information

Thank you for choosing Adapt Integrated Health Care as your health care home. Whether you’re seeking primary care, mental health care or substance use treatment, this page contains information to help you establish your care.

To help you prepare for your first visit, and save you time once you arrive, we encourage you to download and complete the forms for the health care services you are seeking. Please bring the completed forms with you to your first appointment.

If you need assistance or would like us to mail you the forms, please call us at the numbers provided below.

Required Forms for All New Clients & Patients

All new patients must complete these forms.

Primary Care Forms

If you need assistance or would like us to mail you the forms, please call our office at (541) 492-4550.

Adult Forms

Child-Adolescent Forms

Psychiatric Medical Forms

Mental Health Forms

If you need assistance or would like us to mail you the forms, please call our office at (541) 440-3532.

Substance Use Treatment Forms

If you need assistance or would like us to mail you the forms, please call our office at (541) 672-1761.

Roseburg

North Bend

Grants Pass

Other Patient Forms & Information

Financial Forms

Audio-Video Recording Consent

Other Patient Forms & Information