Prepare for your visit by reading the information below and completing your new patient paperwork.
As a courtesy, automatic e-mail or text reminders will be sent out in advance of your scheduled appointment. Asula cannot guarantee the accuracy of the delivery of appointment reminders. You are ultimately responsible for keeping track of scheduled appointments.
A 24-hour cancellation notice is required for all scheduled appointments. Rescheduled, missed, or no-show appointments without 24 hours notice will result in your being charged a $40 late cancellation. We have this policy so that we can best accommodate our patients and practitioners. If you are sick, we prefer you to stay at home, so please contact us so we can reschedule your appointment (you will not be charged a late cancellation fee if you are sick and call the day of your appointment).
Before your first visit, please complete the new patient forms for the service(s) you will be seen for and email them back to us ahead of your appointment. These forms are fillable PDF’s, so they need to be downloaded to your device, saved to your device, filled out, and then email completed forms to [email protected] (Pearl location) or [email protected] (Lake Oswego location).
If you are unable to complete these forms before your appointment, please arrive 15 minutes before your scheduled appointment time to complete them in our office.
Please take a photo of the front and back of your insurance card (if applicable) and email it to the office ahead of your appointment.
Chiropractic Patient Forms
Chiropractic Intake
Consent and Signature Form
Benefits Processing Disclosure
Release of Personal Health Information
Acupuncture Patient Forms
Acupuncture Intake
Consent and Signature Form
Benefits Processing Disclosure
Release of Personal Health Information
Naturopathic Patient Forms
(Pearl location)
Naturopathic Intake
Consent and Signature Form
Benefits Processing Disclosure
Lab Payment Policy
Release of Personal Health Information
Naturopathic Patient Forms
(Lake Oswego location)
Naturopathic Intake (Lake Oswego)
Consent and Signature Form
Benefits Processing Disclosure
Lab Payment Policy
Release of Personal Health Information
Pediatric Naturopathic Patient Forms
(Lake Oswego location only)
Pediatric Naturopathic Intake
Consent and Signature Form
Benefits Processing Disclosure
Lab Payment Policy
Release of Personal Health Information
Aesthetics Patient Forms
Aesthetics Intake
Consent and Signature Form
Release of Personal Health Information
Massage New Patient Forms
Massage Intake
Consent and Signature Form
Benefits Processing Disclosure
Release of Personal Health Information
Treatment of Minors Form
If the patient is a minor, please complete this form in addition to the other new patient forms to the left:
Consent to Treat a Minor
Motor Vehicle Accident / Personal Injury
If your appointment is due to a motor vehicle accident or personal injury, please complete these forms in addition to the other new patient forms to the left (We do NOT accept Workers Compensation Claims):
MVA/PI Additional Intake
Doctor’s Lien
Medicare
If you are a Medicare aged patient, please complete these forms in addition to the other new patient forms to the left:
Medicare Billing Disclosure
Medicare ABN (Advance Beneficiary Notice of Noncoverage)
Guides for Checking Benefits & Limits
If you would like to use a guided form to check your benefits or annual limits, please utilize the forms below:
How to Check Your Annual Limits
How to Check Your Chiropractic Benefit
How to Check Your Acupuncture Benefit
How to Check Your Naturopath Benefit