FORMS

PCSO Forms

For patients visiting Pain Care Specialists of Oregon for the first time, there are two different types of forms available:

Web-Enable New Patient Packet If you have created an online profile using our Patient Portal please select This Packet to complete prior to your first visit.
Non Web-Enable New Patient Packet If you have NOT created an online profile, please select This Packet and complete the forms prior to your first visit.
Medical Records If you need to request your PCSO medical records be forwarded to another party, please complete this form and give it to the PCSO receptionist or fax it to us at (503) 371-0805, Attention: Medical Records.
Pain Diary Template Using a pain diary can be a very useful tool for your medical provider to look at, so he/she can see any recurring pattern that you may need either physically, emotionally, or psychologically and even evaluate any new problems that may be emerging.
CONTACT US
SALEM LOCATION

Pain Care Specialists of Oregon – Salem
2480 Liberty St NE, Suite 180,
Salem, OR 97301

MCMINNVILLE LOCATION

Pain Care Specialists of Oregon – McMinnville
2700 SE Stratus Ave., Suite 401,
McMinnville, OR 97128

WEST LINN LOCATION

Pain Care Specialists of Oregon – West Linn
2020 8th Ave Suite 200,
West Linn, OR 97068

CLACKAMAS LOCATION

Pain Care Specialists of Oregon – Clackamas
10135 SE Sunnyside Road, Suite 120,
Clackamas, OR 97015

CORVALLIS LOCATION

Pain Care Specialists of Oregon – Corvallis
2211 NW Professional Dr., Suite 100,
Corvallis, OR 97330

CONTACT NUMBER

TEL: +1 503-371-1010

FAX: +1 503-371-0805

EMAIL: Contact@paincareoregon.com

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