Patient Forms

DOWNLOADABLE FORM

For added convenience we have made our new patient forms available for you to print and fill out in your own home. Although this is not required, bringing these completed forms with you to the clinic will save you time on your first visit.

HIPPAA consent form is available by clicking the LINK.

Simply open/print the PDF below and bring the completed forms with you when you come in for your appointment.

New Patient Information Form

Aesthetic Wellness Intake Form Only


Regenerative Therapy

  • Stem Cells
  • Exosomes
  • Platelet Rich Plasma (PRP)
  • Amniotic / Placental Matrix
  • Prolo

Aesthetics

  • Fat Reduction
  • Fat Transfer
  • Bodysculpting

Pain & Arthritis

  • Steroid Injections
  • PTSD
  • A2M
  • Shock Wave Therapy
  • PEMF

Anti-Aging

  • Nutraceuticals
  • Exosomes

Location

7654 SW Mohawk Street (bldg. K), Tualatin, OR 97062

Office Hours

MON - WED 8:30 am - 6:00 pm

THU Closed

FRI 8:30 am - 6:00 pm

SAT - SUN Closed

Get in Touch

Email: ma@huebertssc.com

Phone: (503) 691-2000