New Research Patient Forms

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

Below is our medical history form in PDF format for you to complete on your computer and print out, or print out and fill out by hand. If you aren't able to fill out the medical history form before your appointment, no problem! We are happy to provide you with a copy when you arrive.

Click on the link below to download the form:

        Patient Medical History Form