Become a Patient | GreenField Health

We’re excited to welcome you to a new way of experiencing
health care.

It’s important to us that you feel confident and informed when making decisions about your health and the health of your family – including the decision to become part of the GreenField Health family. If you still have questions, we want to make sure we answer them.

To learn more about becoming a patient with us, contact a patient navigator using the form below

-- OR --

Call and speak with one of our patient navigators at 503-292-9560.

First Name

Last Name

Street Address

City

Zip Code

State

Preferred Telephone Number

Email Address

Date of birth (MM/DD/YYYY)

Primary Insurance

How did you hear about us?

Our website

A GreenField patient

A friend

Advertising

Followed my Provider (please specify below)

My Employer (please specify below)

Internet Search

Other (please specify below)

If you followed your provider, heard about us from another person, or came to us from your employer, please let us know their name.

Other Comments?

Substance Policy

I have read and agree to GreenField's controlled substance policy.

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