Mountain View Family Practice | Gresham Oregon
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Patient Forms

Patient Registration Form
File Size: 160 kb
File Type: pdf
Download File

Health Questionaire
File Size: 166 kb
File Type: pdf
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Payment Policies and Patient Responsabilities
File Size: 548 kb
File Type: pdf
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Release of Information
File Size: 64 kb
File Type: pdf
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Notice of Privacy Practices
File Size: 555 kb
File Type: pdf
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Privacy Practices Acknowledgement Form
File Size: 141 kb
File Type: pdf
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Medicare Annual Wellness Questionnaire
File Size: 409 kb
File Type: pdf
Download File


Screening and Immunization Resources

Immunization Recommendations: Birth - 6 years old

Immunization Recommendations: 7 - 18 years old 

Men: Stay Healthy at Any Age - Health Screening Guidelines

Women: Stay Healthy at Any Age - Health Screening Guidelines 

Choose My Plate - Tips for a Healthy and Balanced Diet

Insurances We Accept

Always verify coverage with your Insurance company    
  • AARP Medicare Complete
  • Aetna
  • Beech Street
  • BlueCross BlueShield
  • Care Oregon
  • Caremark
  • Cigna
  • Conventry
  • First Choice
  • First Health
  • GEHA
  • GreatWest
  • Hartford
  • Health Net ​
  • Healthshare  
  • ​Humana
  • ​Kaiser Added Choice​​
  • Lifewise
  • ​Mail Handlers
  • Medicaid
  • Medicare
  • MedAdvantage - BCBS
  • Motor Vehicle Ins
  • UHC MedicareComplete
  • MHN Caremark
  • MODA/ODS
  • Pacific Source
  • Progressive
  • Providence(OON)​
  • Regence
  • Worker's Compensation
  • Secure Horizons
  • Tricare / Triwest
  • UMR
  • UnitedHealthcare

Resources for the Uninsured

Uninsured / Self - Pay Patient Rates 

$110 for New Patient Appointments

$80 for Established Patient Appointments

The above fees will cover evaluation of a single illness or injury.  If other services or a more comprehensive evaluation and treatment are required, there may be additional charges.   
Discounted Lab Work 
We offer lab work to uninsured patients at a discounted rate. If you are interested in more information, please contact the clinic at 
(503) 665-1010.  
Options for Making Payments 
You may pay by cash, check, or credit/debit card.  Payments can be made in person, by telephone, or by mail. 
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