DG forms info


Elizabeth Newhall, M.D.*
Dana Mozer, F.N.P.

(*Board-certified)

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503-222-7333 ph
503-517-8588 fx
511 SW 10th Ave., Suite 613
Portland, OR 97205

Our Clinic's Health History Form is provided here in .pdf format, for you to complete prior to your appointment if you like.

Health History Form

You may complete this form and fax it to our office at (503) 517-8588, or simply bring it with you to your appointment.