Patient Information/Forms

*Note: If this is the first time you are seeing Dr. Salisbury in her new office, you will need to download and complete the following forms and bring them with you, in addition to your current health insurance card(s).  

New Patient Welcome Letter

New Patient Acknowledgment Form Policies

New Patient Registration

Release of Medical Records

New Patient Health History Form


Insurance Plans we accept*
Updated Dec 19, 2011

Aetna
Blue Cross Blue Shield
CareOregon
Caremark PPO
Cigna PPO
Cigna/Great West
Coventry
Family Care OHP
First Choice Health
First Health
Healthcare Direct
Healthnet Medicare Advantage
Healthnet of Oregon
HMA
Humana ChoiceCare
Lifewise
Premera Blue Cross
MHN
Medicare
Medicaid
Multi-Plan
ODS Health Plan/ODS OHP
Pacificare
PacificSource
PHCS
Providence EPO/PPO
Providence OHP
Providence Medicare Advantage
Providence Preferred
Regence Blue Cross Blue Shield of Oregon
Regence MedAdvantage
Secure Horizons
Tricare
United Healthcare

*This is a general list of contracted insurance plans and may not represent
all plans we accept. Please contact us if you do not see your plan listed.