Patient Intake & Insurance Forms

Patient Intake Forms

Please complete the following forms prior to your initial appointment at Orchid Pediatrics.

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:

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    Integrative & holistic pediatrician, Portland, OR

    Phone

    (503) 208-4007

    Integrative & holistic pediatrician, Portland, OR

    Email

    team@orchidpediatrics.com

    Integrative & holistic pediatrician, Portland, OR

    Fax

    (888) 334-4845

    Integrative & holistic pediatrician, Portland, OR

    Office Location

    4850 SW Scholls Ferry Rd.
    Suite 301
    Portland, OR 97225