Clinic hours:
Monday to Friday
8:00am to 4:00pm

703 SE 1st Ave.
Canby, Oregon 97013
503-266-7686

Before Your First Visit

If you’re a new patient, these tips can help you make the most of your visit while saving time.

How to Prepare for a Visit

For your first visit you will want to arrive 30 minutes early in order to allow for enough time to fill out the new patient paperwork.

You can download and fill out these documents to facilitate your first check. Patient Information | Patient Intake form | Child Health Questionnaire

This also applies for your first visit with the PMHNP as there will be additional paperwork to fill out (see below) prior to that appointment.

Please bring your insurance card to your first visit at the clinic and be sure to let us know when your insurance provider changes. Please also bring a list of your medications or bring the bottles if that is easier.

If there is anyone else in your life who you believe could offer important information to your provider during your visit, please feel free to bring them along. If you want anyone else, a family member or another healthcare provider or therapist, to be able to communicate with your provider please be sure to sign a Release of Information (ROI) today.

The ROI tells us you’re okay with us communicating with these particular people about your care. You are free to revoke that ROI at any time.

Mental Health Intake Forms

For your first mental health visit you will need to complete the following paperwork. You can download and fill out these documents at home.

Current Patients

If you are a current Canby HealthCare Clinic patient but this is your first time seeing a mental health provider in this clinic, please fill out the appropriate intake paperwork found below:

New Patients

If you are a new patient and this is your first time at Canby HealthCare Clinic, please fill out the appropriate paperwork found below:

 

To find out more about our practice and policies, please visit the About Us page or download the Clinic Orientation for Patients brochure.