Patient Intake & Insurance Forms
Patient Intake Forms
Please complete the following forms prior to your initial appointment at Orchid Pediatrics.
Vanderbilt Assessment Forms
Insurance Forms
Orchid Pediatrics is not in-network with any insurance providers. We require payment in full at the time of service. We provide a Superbill that can be submitted to insurance for reimbursement, and are happy to assist in this process as needed. Below are some claim forms for common insurance providers:
Contact Orchid Pediatrics
Use the brief form below to contact developmental pediatrician, Joy Eberhardt.
Phone
(503) 208-4007
info@orchidpediatrics.com
Fax
(888) 334-4845
Office Location
4850 SW Scholls Ferry Rd.
Suite 301
Portland, OR 97225
