New Research Patient Forms

Thank you for scheduling your research screening appointment with Oregon Dermatology and Research Center!  

Below please find our research medical history form in a PDF fillable format. Once complete, please forward a copy to our secure hushmail email account prior to your appointment.  If you are unable to forward a copy via email, please bring a completed printed copy to your appointment. 

Click on the link below to download the form:

        Patient Medical History Form

        Notice of Privacy Practices_Acknowledgment Form