Click Link below if you are scheduled for a telemedicine appointment with Dr. Julie
**WE ARE CURRENTLY CLOSED TO NEW PATIENTS AT THIS TIME**
New patients will need to complete the initial patient paperwork and either mail, email or fax the forms to our office. We are typically scheduled about 8-12 weeks out depending on availability. Once we receive your paperwork, our office will give you a call and schedule you for an initial evaluation appointment. There is a one time $55 clinical fee that is no covered by insurance, that we will collect information and concerns from for your initial evaluation.
All forms needed for the initial registration can be found below.
Currently Updating: Please mail all forms to P.O. Box 3173, Salem, OR 97302. The address on the forms are for our old location.
Below are questionnaires that Dr Richard Bingham or Dr Julie Bingham may request the family to complete to gather more information.