New Patient

Let’s get the paperwork out of the way! Download and print PDF versions of our new patient forms so you can fill them out before you get here!

Secure portal please text clinic “503-351-8427” your full name, DOB, and email. We will email a link to the secure Portal site.

Why Portal?

Print New Patient Forms (This link has several pages attached)

Lastly do online form

Manually
Go to https://www.patientally.com/
a) Go to Sign up Now
b) After account activation by email a temporary password will be given
c)After Log-in
d) our clinic will send you code after you have activation or given use you email and DOB

d) Log- in Click My Providers tab (fifth tab on top): Add Dr. Ryan Lambert Bellacov in West Linn, OR

Directly links Insurance benefits (some insurance plans offer cash rebate)

Secure health information from the Electronic Healthcare Network Accreditation Commission (EHNAC)

FAQ

Payment

Auto Accident questions

Additional forms if requested

Motor Vehicle Accident

MINOR AUTHORIZATION

Privacy notice

Sports Physical Form

Sports Physicals

Survey